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Iowa rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.40 / $38.40 / $44.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.53 / $36.02 / $53.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $70.13 / $87.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $6.19 / $6.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $100.00 / $305.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $38.58 / $88.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.47 / $8.47 / $20.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $10.13 / $20.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $36.22 / $88.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $66.76 / $66.76