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Idaho rates for HCPCS E1236

Wheelchair, pediatric size, folding, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.67 / $1,704.67 / $1,704.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.56 / $1,704.67 / $2,546.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.51 / $1,082.51 / $1,474.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $1,082.51 / $1,114.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.80 / $1,327.97 / $1,895.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.52 / $217.52 / $228.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.76 / $168.97 / $1,237.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.70 / $963.59 / $1,638.73