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Iowa rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $60.26 / $75.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.13 / $5.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $79.43 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $75.86 / $154.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $19.50 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $53.70 / $53.70