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Oregon 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
$77.83 / $77.83 / $77.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.64 / $274.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $64.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $64.23 / $71.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $71.14 / $249.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $65.27 / $118.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.59 / $86.34 / $93.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $99.11 / $115.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $90.10 / $109.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $65.27 / $118.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $83.61 / $106.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.36 / $134.36 / $158.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $91.12 / $91.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $48.77 / $89.85