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Alaska rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.42 / $595.42 / $595.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $245.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.72 / $291.75 / $457.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $54.03 / $54.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $451.80 / $1,213.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.56 / $285.88 / $451.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $245.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $134.81 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.52 / $365.17 / $832.51