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Arizona rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $18.62 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $316.23 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $134.90 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $338.84