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Idaho rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.83 / $833.83 / $833.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.00 / $833.83 / $1,245.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $687.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.98 / $552.10 / $912.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.38 / $111.98 / $111.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $82.63 / $605.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.00 / $471.40 / $745.34