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Iowa rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.49 / $841.49 / $1,017.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.84 / $774.14 / $1,162.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,359.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $1,359.52 / $2,034.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.57 / $133.57 / $1,794.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.32 / $1,630.78 / $7,407.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.15 / $755.95 / $1,911.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.36 / $154.36 / $364.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $185.00 / $364.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.86 / $755.95 / $1,911.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.75 / $1,262.97 / $1,262.97