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Idaho rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.52 / $1,263.52 / $1,263.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.62 / $1,263.52 / $1,887.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $886.07 / $1,042.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.71 / $797.20 / $1,322.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $122.31 / $1,223.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.62 / $684.86 / $1,129.14