go back

Idaho rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $145 · 10th–90th $19$2040%10%20%10th90th$145Professionalmedian $155 · 10th–90th $85$1950%20%10th90th$155$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $251.19 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $123.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $144.54 / $194.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $162.18 / $177.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $134.90 / $138.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $251.19 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $128.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $177.83 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $67.61 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $128.82