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Idaho rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.72 / $152.72 / $152.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $152.72 / $253.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $281.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $226.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $171.45 / $302.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $181.27 / $376.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $208.64 / $214.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.99 / $175.99 / $368.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $153.75 / $291.49