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Kansas rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.33 / $488.33 / $488.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.91 / $358.46 / $488.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.20 / $711.20 / $711.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.50 / $238.50 / $768.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.91 / $358.46 / $2,575.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $177.06 / $326.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $179.39 / $284.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $171.04 / $324.98