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Louisiana 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
$35.72 / $46.83 / $53.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.66 / $61.59 / $61.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $65.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $74.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $34.49 / $54.34