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Iowa 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
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $48.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $36.19 / $55.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $77.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $74.63 / $95.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.51 / $6.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $100.00 / $309.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $35.90 / $90.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.80 / $18.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.15 / $18.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $35.32 / $90.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.90 / $63.17 / $63.17