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Arkansas rates for HCPCS E0953

Wheelchair Accessory Lateral Thigh Or Knee Support Any Type Including Fixed Mounting Hardware Each (Reinstated Code) Old Description: Pneumatic Tire Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.39 / $47.39 / $63.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.09 / $68.18 / $118.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $68.18 / $118.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $79.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $64.23 / $71.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $50.65 / $76.50