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Washington, DC 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
$48.52 / $48.52 / $48.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.27 / $68.27 / $68.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $56.64 / $56.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $46.76 / $54.09