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Idaho rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.66 / $449.66 / $449.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.05 / $449.66 / $626.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $489.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $358.71 / $442.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.08 / $347.70 / $626.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.23 / $487.91 / $655.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $449.04 / $461.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.72 / $523.72 / $908.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.77 / $269.19 / $448.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.02 / $297.97 / $507.60