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Idaho rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.21 / $1,026.21 / $1,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.97 / $1,026.21 / $1,407.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $910.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $899.92 / $1,407.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.53 / $1,100.36 / $1,384.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.37 / $963.72 / $989.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.49 / $1,206.49 / $2,041.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.92 / $561.16 / $1,064.58