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Idaho rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $27.31 / $36.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $27.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $25.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $20.61 / $36.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $30.89 / $32.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $24.49 / $25.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $16.66 / $27.61