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Idaho rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes 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
$42.42 / $59.92 / $81.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $69.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $59.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $42.42 / $81.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $65.87 / $92.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $8.42 / $62.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $65.80 / $118.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $42.04 / $71.63