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Idaho rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.02 / $269.02 / $269.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.30 / $269.02 / $349.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $207.77 / $329.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $243.25 / $349.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $293.51 / $313.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $226.22 / $231.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.52 / $306.52 / $507.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.79 / $152.44 / $243.24