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Rhode Island rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $186.72 / $226.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $27.23 / $27.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $235.00 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $235.00 / $238.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $170.10 / $226.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.88 / $178.76 / $359.83