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Idaho rates for HCPCS E1280

Heavy Duty Wheelchair Detachable Arms (Desk Or Full Length) Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.44 / $1,365.44 / $1,365.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.89 / $1,365.44 / $2,039.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $511.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $511.03 / $511.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.39 / $904.10 / $1,447.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $135.34 / $991.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.16 / $740.08 / $1,220.21