go back

Washington 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
$32.19 / $39.00 / $74.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $131.72 / $309.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $50.63 / $74.80
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 / $67.39
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.84 / $64.84 / $64.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $64.84 / $64.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.22 / $60.25 / $66.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.38 / $65.29 / $73.62
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.38 / $64.84 / $73.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $5.87 / $72.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $53.53 / $72.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.98 / $62.98 / $62.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.93 / $32.60 / $61.38