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Iowa rates for HCPCS E2293

Back Contoured For Pediatric Size Wheelchair Including Fixed Attaching Hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.44 / $412.99 / $412.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.80 / $412.99 / $412.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.24 / $901.22 / $954.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $412.99 / $702.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.60 / $236.60 / $236.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.17 / $206.17 / $236.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.63 / $197.00 / $197.00