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Iowa rates for HCPCS E2291

Back, planar, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.33 / $238.98 / $238.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.98 / $238.98 / $287.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $180.13 / $185.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.79 / $668.40 / $708.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $238.98 / $575.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.05 / $562.05 / $562.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.65 / $490.65 / $562.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.72 / $468.00 / $468.00