go back

Arizona rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.88 / $375.82 / $375.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $16.73 / $20.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.52 / $435.36 / $723.79
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 / $768.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $326.37 / $2,575.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.91 / $205.25 / $336.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.92 / $143.82 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.42 / $205.09 / $336.31