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Idaho 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
$193.01 / $193.01 / $193.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.01 / $238.98 / $238.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $180.13 / $307.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.33 / $238.98 / $287.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00