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Iowa rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $106.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.77 / $70.94 / $121.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $160.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $160.78 / $208.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.46 / $16.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $169.85 / $640.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.53 / $72.92 / $191.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $42.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $21.41 / $42.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $72.92 / $191.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.92 / $131.54 / $131.54