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Idaho rates for HCPCS E1092

Wide Heavy Duty Wheel Chair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.95 / $1,336.95 / $1,336.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.60 / $1,336.95 / $1,996.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.04 / $860.04 / $860.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $860.04 / $860.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.56 / $784.46 / $1,486.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.58 / $179.56 / $179.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.05 / $132.51 / $970.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $724.61 / $1,196.55