go back

Indiana 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
$41.24 / $41.24 / $41.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $41.24 / $42.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.51 / $58.35 / $65.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $50.63 / $65.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $48.92 / $94.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $46.50 / $78.23
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 / $70.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $33.00 / $51.62