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Idaho rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.59 / $583.59 / $583.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.71 / $583.59 / $765.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $206.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $460.71 / $765.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.21 / $55.00 / $462.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.84 / $1,322.84 / $1,587.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.80 / $430.26 / $681.25