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Idaho rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.89 / $704.89 / $704.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.55 / $704.89 / $1,053.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $659.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.69 / $466.92 / $705.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.69 / $94.69 / $94.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $69.88 / $511.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $382.18 / $630.85