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Idaho rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.10 / $770.10 / $770.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.69 / $770.10 / $1,149.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $359.31 / $422.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.41 / $482.22 / $856.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.23 / $74.52 / $558.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $435.24 / $875.10