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Maryland 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
$27.42 / $33.79 / $46.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $43.09
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 / $36.68 / $50.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $57.05 / $68.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $35.32 / $57.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $50.63 / $53.88