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Connecticut 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
$32.40 / $37.01 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $50.63 / $50.63
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $41.20 / $58.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $34.81 / $48.20