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Iowa 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
Facility
Modifier
Low / Median / High Price
$60.45 / $60.45 / $72.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $52.63 / $83.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $120.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $120.37 / $141.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $9.47 / $9.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $131.47 / $433.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $55.91 / $136.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $12.03 / $28.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $14.39 / $28.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $52.83 / $136.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $98.49 / $98.49