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Minnesota 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
$39.00 / $39.00 / $39.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $39.00 / $48.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.93 / $73.91 / $77.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $160.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $75.37 / $94.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.80 / $113.80 / $126.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $74.63 / $74.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $68.61 / $309.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $34.83 / $73.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $33.93 / $72.63