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Arizona 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
$27.30 / $60.01 / $65.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $68.91 / $114.57
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 / $103.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.84 / $68.42 / $405.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $39.40 / $62.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $39.40 / $60.66