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Alaska rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $138.69 / $138.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $36.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $49.75 / $76.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $94.73 / $132.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $12.96 / $196.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.31 / $46.67 / $75.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $36.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.45 / $125.45 / $229.09