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Alaska rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.05 / $226.05 / $226.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $129.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $132.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.95 / $106.39 / $159.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $23.12 / $24.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $178.70 / $403.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.18 / $108.07 / $157.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $132.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.81 / $172.14 / $350.39