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Connecticut rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.19 / $384.60 / $393.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.13 / $393.87 / $393.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $235.00 / $642.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $191.37 / $255.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $209.20 / $270.20