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Washington rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $45.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $63.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $47.86 / $52.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $54.95 / $60.26
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $54.95 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.79 / $46.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $6.03 / $46.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $17.38 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $48.98