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Massachusetts 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
$27.42 / $27.42 / $27.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.42 / $27.42 / $47.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.39 / $67.78 / $309.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $45.21 / $61.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $49.86 / $73.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $55.76 / $55.76
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 / $93.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.79 / $50.79 / $50.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $309.02 / $309.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $33.65 / $54.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $35.32 / $70.44