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Idaho rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.70 / $508.70 / $508.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.04 / $508.70 / $623.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $437.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $287.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.42 / $348.00 / $560.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $56.04 / $58.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.86 / $56.04 / $411.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.08 / $278.39 / $453.27