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Idaho rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.60 / $2,006.60 / $2,006.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.30 / $2,006.60 / $2,997.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,736.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,245.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $1,563.19 / $2,231.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.04 / $256.04 / $269.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.68 / $198.90 / $1,942.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.68 / $1,134.22 / $1,928.95