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Idaho rates for HCPCS E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $6.17 / $8.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $5.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $4.62 / $8.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.48 / $7.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $5.80 / $5.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $11.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.51 / $5.88