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Idaho rates for HCPCS E1093

Wide Heavy Duty Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.85 / $1,149.85 / $1,149.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.97 / $1,149.85 / $1,717.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $707.88 / $707.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $707.88 / $707.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.41 / $716.67 / $1,278.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $113.96 / $834.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.76 / $622.99 / $1,027.45