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Idaho rates for HCPCS E2604

Skin Protection Wheelchair Seat Cushion Width 22 Inches Or Greater Any Depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.50 / $144.50 / $144.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.23 / $144.50 / $216.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $169.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $138.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.26 / $116.07 / $226.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $164.01 / $226.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $149.83 / $153.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.49 / $180.49 / $313.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $103.21 / $175.83