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Maine 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
$37.28 / $37.28 / $679.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.75 / $73.22 / $135.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $50.63 / $50.63
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 / $66.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.79 / $50.79 / $50.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.92 / $37.28 / $679.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.68 / $40.76 / $81.94