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Illinois 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
$24.34 / $38.00 / $58.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $76.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $44.44 / $74.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $6.52 / $9.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $35.03 / $60.25