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New Hampshire 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
$27.92 / $36.19 / $47.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.54 / $63.54 / $63.54
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 / $56.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $50.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.79 / $142.57 / $180.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $31.93 / $48.03