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North Carolina 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
$33.79 / $46.44 / $46.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $74.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $46.44 / $55.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $50.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $35.42 / $63.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $309.02 / $309.02