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Idaho rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.78 / $411.78 / $411.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.78 / $511.16 / $921.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $674.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.40 / $596.35 / $1,129.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $87.49 / $656.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.78 / $463.43 / $1,127.25