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Arkansas 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
$28.11 / $43.11 / $43.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $93.95 / $104.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $62.03 / $86.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $62.03 / $86.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $70.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $42.40 / $59.89