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Idaho rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.31 / $279.31 / $279.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.65 / $279.31 / $465.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $335.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $300.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.68 / $247.70 / $465.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.72 / $343.81 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.16 / $331.58 / $340.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.71 / $377.71 / $674.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.68 / $204.39 / $373.10