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Hawaii 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $50.66 / $106.65
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.95 / $101.52 / $101.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $87.11 / $135.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $53.21 / $106.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.54 / $79.93 / $91.82