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Idaho rates for HCPCS E2376

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.37 / $1,373.37 / $1,373.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.78 / $1,373.37 / $1,694.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,208.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $642.26 / $661.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.66 / $945.30 / $1,512.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.26 / $153.59 / $161.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.32 / $117.34 / $1,124.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.30 / $789.84 / $1,252.59