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Idaho rates for HCPCS E2294

Seat, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.83 / $264.83 / $264.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $275.70 / $275.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.63 / $226.63 / $226.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $192.64 / $226.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.31 / $275.70 / $275.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00