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Idaho rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,305.01 / $2,305.01 / $2,305.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.17 / $2,305.01 / $3,442.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,994.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $1,448.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.52 / $1,795.46 / $2,563.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.08 / $294.08 / $309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.32 / $228.46 / $1,673.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.78 / $1,302.91 / $2,215.73