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Idaho rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $10.28 / $13.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $9.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $7.22 / $13.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $10.87 / $12.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $9.50 / $9.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $11.80 / $19.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $5.84 / $10.23