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Idaho rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.57 / $5,055.57 / $5,055.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,380.35 / $5,055.57 / $6,407.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $4,382.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $3,381.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,229.67 / $3,574.95 / $5,805.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.02 / $580.54 / $586.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.49 / $437.58 / $4,192.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.28 / $2,889.56 / $4,543.79