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Kentucky 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
$28.36 / $28.36 / $41.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $39.00 / $46.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $52.11 / $52.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $30.41 / $50.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $51.43 / $99.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $58.32 / $99.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $75.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $76.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.34 / $53.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $33.15 / $50.68