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Idaho rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.00 / $126.00 / $126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $126.00 / $179.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $134.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $116.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $89.39 / $179.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $137.88 / $170.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.77 / $124.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.07 / $153.07 / $260.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.65 / $83.20 / $151.88