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Oklahoma 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
$24.34 / $34.54 / $43.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $5.79 / $5.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $65.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $74.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.35 / $46.16 / $309.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $36.15 / $54.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $36.15 / $54.34