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Idaho rates for HCPCS E2328

Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,212.39 / $5,212.39 / $5,212.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,473.75 / $5,212.39 / $6,584.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.21 / $1,642.21 / $4,459.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.42 / $1,642.21 / $1,691.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.19 / $3,673.65 / $5,967.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.89 / $566.91 / $596.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.44 / $596.73 / $4,403.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.54 / $2,940.76 / $4,653.29