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Idaho rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $17.32 / $24.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $18.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $16.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $12.34 / $24.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $19.09 / $24.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.11 / $17.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $20.52 / $35.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.28 / $20.50