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Idaho rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,584.89 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $1,230.27 / $1,230.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $870.96 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $123.03 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,778.28 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $446.68 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $1,096.48