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South Carolina 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
$36.90 / $36.90 / $46.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $62.77 / $84.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $45.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $43.15 / $56.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $46.16 / $92.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $47.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $31.98 / $42.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $31.93 / $46.19