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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
Facility
Modifier
Low / Median / High Price
$1,306.70 / $1,306.70 / $1,306.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.72 / $1,306.70 / $1,951.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $1,223.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.51 / $814.56 / $1,453.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $129.52 / $948.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.83 / $708.28 / $1,167.83