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Idaho rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $59.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.57 / $59.92 / $85.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $67.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $59.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $43.84 / $85.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $64.23 / $90.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $7.33 / $60.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.17 / $71.17 / $123.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $41.74 / $69.89