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Idaho rates for HCPCS E1028

Wheelchair Accessory Manual Swingaway Retractable Or Removable Mounting Hardware For Joystick Other Control Interface Or Positioning Accessory

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.05 / $133.05 / $133.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.52 / $133.05 / $200.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $185.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $93.50 / $110.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $108.91 / $202.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $23.62 / $24.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.93 / $152.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $113.14 / $206.54