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Iowa rates for HCPCS E1011

Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $574.00 / $574.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $574.00 / $574.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.62 / $424.00 / $457.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.91 / $975.80 / $1,668.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.99 / $483.99 / $483.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.04 / $421.04 / $483.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.37 / $403.00 / $403.00