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Idaho rates for HCPCS E2224

Manual Wheelchair Accessory Propulsion Wheel Excludes Tire Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.22 / $92.22 / $92.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.18 / $92.22 / $128.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $73.04 / $75.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $73.04 / $88.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.03 / $61.18 / $128.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.44 / $96.52 / $112.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $90.51 / $92.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.89 / $108.89 / $185.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $47.01 / $87.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.77 / $53.72 / $83.35