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Arkansas 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
$33.08 / $33.08 / $33.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $47.95 / $67.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $47.95 / $67.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $56.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $56.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $32.67 / $48.31