go back

Virginia 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
$39.00 / $39.00 / $39.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $39.00 / $49.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.83 / $64.83 / $64.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $50.63 / $50.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $43.09
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 / $56.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.54 / $53.88 / $75.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.15 / $46.16 / $74.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $7.64 / $55.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $7.64 / $54.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $34.81 / $49.41