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Idaho rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $676.08 / $1,071.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $870.96 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $724.44 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $263.03 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $691.83