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Idaho rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.31 / $494.31 / $494.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.47 / $494.31 / $627.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $407.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.76 / $308.08 / $517.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $63.07 / $63.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $41.64 / $305.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.42 / $267.89 / $441.66