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West Virginia 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
$97.68 / $103.73 / $123.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $15.82 / $131.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $15.82 / $141.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $245.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $129.12 / $802.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.07 / $145.07 / $145.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $108.27 / $202.18