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Idaho rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.06 / $380.06 / $380.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.42 / $380.06 / $567.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $328.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $172.77 / $177.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $295.99 / $422.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.49 / $48.49 / $51.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $51.04 / $367.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.03 / $214.81 / $365.14