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Idaho rates for HCPCS E2385

Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.46 / $48.46 / $48.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $48.46 / $60.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $43.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $35.11 / $41.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $31.72 / $59.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $43.96 / $55.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $5.60 / $41.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.71 / $51.71 / $87.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $27.12 / $49.50