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Utah 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
$27.89 / $27.89 / $187.55
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 / $74.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $42.28 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $31.93 / $54.34