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Maryland rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $37.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $51.29 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $16.98 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $29.51 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $44.67