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Idaho 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
$57.57 / $57.57 / $57.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.93 / $57.57 / $74.37
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 / $67.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $50.12 / $74.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.37 / $62.03 / $65.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $50.44 / $51.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.40 / $63.40 / $107.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.93 / $32.60 / $60.25