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California 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
$34.22 / $53.66 / $126.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $7.30 / $151.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.47 / $72.98 / $148.21
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $51.36 / $84.48
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 / $54.60 / $138.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.69 / $103.69 / $124.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $76.59 / $147.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.94 / $433.65 / $433.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.45 / $66.62 / $118.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $63.45 / $64.23
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.37 / $179.37 / $179.37
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $71.14 / $103.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $48.14 / $95.88