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Idaho rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.17 / $421.17 / $421.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.92 / $421.17 / $597.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $431.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $408.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.02 / $331.38 / $597.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $452.42 / $499.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.70 / $437.07 / $448.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.42 / $485.42 / $866.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.54 / $274.66 / $838.19