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Idaho rates for HCPCS E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $42.59 / $42.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $42.59 / $62.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $49.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $46.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $32.22 / $62.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $49.26 / $65.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.59 / $44.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.75 / $51.75 / $90.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $26.40 / $42.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $29.88 / $50.90