go back

Idaho rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.16 / $1,229.16 / $1,229.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.30 / $1,229.16 / $1,560.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,048.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $624.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.61 / $872.25 / $1,403.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.30 / $133.31 / $140.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.37 / $105.25 / $1,011.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.34 / $697.80 / $1,104.84