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West 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
Professional
Modifier
Low / Median / High Price
$34.46 / $39.00 / $42.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $33.43 / $51.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $35.67 / $48.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $43.15 / $75.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $45.80 / $56.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $35.60 / $60.23