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Idaho rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.52 / $591.52 / $591.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.06 / $591.52 / $764.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $450.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $450.88 / $450.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.43 / $341.44 / $571.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $67.93 / $71.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $68.80 / $513.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $281.70 / $533.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.52 / $329.62 / $557.46