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Nebraska 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
$55.17 / $55.17 / $55.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $52.11 / $52.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.70 / $60.13 / $63.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $56.64 / $77.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $74.63 / $93.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $72.48 / $309.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $32.99 / $54.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $7.80 / $13.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $9.15 / $18.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $32.99 / $54.34