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Idaho rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.32 / $148.32 / $148.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.88 / $148.32 / $196.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $127.99 / $199.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $156.83 / $199.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $137.97 / $141.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.79 / $166.79 / $285.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $80.98 / $249.41