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Alaska rates for HCPCS E0954

Wheelchair Accessory Foot Box Any Type Includes Attachment And Mounting Hardware Each Foot (Reinstated Code) Old Description: Semi-Pneumatic Caster Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $109.41 / $109.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $44.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $46.16 / $61.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.61 / $99.58 / $157.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $10.22 / $86.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $46.16 / $61.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $44.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.96 / $99.59 / $238.16