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Pennsylvania 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
$22.82 / $34.46 / $47.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $57.05 / $63.39
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 / $93.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.32 / $58.32 / $63.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $60.22 / $84.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $36.19 / $58.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $56.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $93.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.71 / $62.60 / $62.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $36.36 / $63.26