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Idaho rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.26 / $5,060.26 / $5,060.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,987.30 / $5,060.26 / $7,558.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $4,377.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.34 / $2,900.00 / $2,987.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.57 / $3,941.86 / $5,628.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.66 / $645.66 / $679.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.27 / $509.74 / $4,898.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.65 / $2,860.46 / $4,864.24