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Idaho rates for HCPCS E2629

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Frictionarm Support (Friction Dampening To Proximal And Distal Joints)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.23 / $969.23 / $969.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.71 / $969.23 / $1,282.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $394.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $394.97 / $897.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.41 / $900.22 / $1,320.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.01 / $1,076.78 / $1,320.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.94 / $929.47 / $954.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.54 / $1,080.54 / $1,860.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.60 / $548.04 / $1,014.90