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Idaho rates for HCPCS E1232

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.82 / $2,224.82 / $2,224.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.06 / $2,224.82 / $3,322.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.64 / $1,219.64 / $1,924.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.18 / $1,219.64 / $1,256.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.94 / $1,732.97 / $2,474.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.86 / $283.86 / $298.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.51 / $220.51 / $1,615.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.42 / $1,257.65 / $2,138.41