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Idaho rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.82 / $171.82 / $171.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.49 / $171.82 / $221.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $83.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $83.15 / $158.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.63 / $153.75 / $230.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $187.39 / $199.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.38 / $143.84 / $147.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.91 / $194.91 / $322.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.06 / $97.22 / $153.94