go back

Tennessee 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
Facility
Modifier
Low / Median / High Price
$40.43 / $40.43 / $40.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $40.97 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.01 / $45.61 / $54.21
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.29 / $309.02 / $309.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $34.59 / $54.34