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Missouri 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
$30.66 / $44.07 / $59.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.71 / $50.63 / $53.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $45.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $50.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.28 / $59.84 / $309.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $36.15 / $64.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $36.15 / $76.29