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Idaho rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $52.57 / $52.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.06 / $52.57 / $64.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $45.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $45.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $34.06 / $60.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $43.47 / $57.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.46 / $42.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.27 / $56.27 / $93.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $29.91 / $47.01