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Arizona 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
$36.90 / $48.34 / $48.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $50.89 / $84.60
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 / $74.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $58.01 / $309.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $32.60 / $54.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $31.93 / $54.34