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Iowa rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.24 / $305.24 / $367.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $283.37 / $421.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $406.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.62 / $551.25 / $689.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $795.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.87 / $674.09 / $1,856.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.73 / $299.68 / $606.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.53 / $63.53 / $150.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.05 / $75.92 / $150.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.02 / $265.01 / $564.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.60 / $519.75 / $519.75