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Idaho rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.12 / $41.12 / $41.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $54.00 / $55.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $44.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $39.72 / $58.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.22 / $45.62 / $47.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $39.93 / $41.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.34 / $46.34 / $80.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $24.57 / $45.21