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Arizona 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
$77.31 / $129.58 / $132.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.42 / $6.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.33 / $140.71 / $259.91
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 / $253.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.33 / $122.85 / $911.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.33 / $108.27 / $171.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.33 / $94.52 / $171.85