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Idaho rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.19 / $1,923.19 / $1,923.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.08 / $1,923.19 / $2,824.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,636.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $1,825.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.22 / $1,498.16 / $2,583.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.29 / $1,904.93 / $2,539.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.04 / $187.44 / $1,830.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,480.34 / $2,480.34 / $4,105.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.76 / $1,095.38 / $1,848.76