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Idaho 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
$54.04 / $54.04 / $54.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $54.04 / $73.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $50.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $58.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.47 / $37.15 / $73.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.08 / $57.09 / $62.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.44 / $52.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.11 / $61.11 / $106.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $36.43 / $59.37