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Idaho rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.99 / $424.99 / $424.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.62 / $424.99 / $665.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $422.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.85 / $340.79 / $662.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.52 / $495.61 / $584.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.80 / $448.03 / $460.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.51 / $567.51 / $964.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.25 / $264.33 / $473.98