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New Mexico 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
$29.85 / $40.89 / $187.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.05 / $6.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $43.15 / $50.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $43.78 / $62.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $46.16 / $50.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $43.15 / $50.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $32.60 / $54.34