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California 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
$27.37 / $43.57 / $75.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.54 / $5.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $67.55 / $106.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.90 / $45.68 / $79.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $98.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $103.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $71.37 / $85.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.79 / $67.42 / $130.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.47 / $405.24 / $405.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $55.12 / $99.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $56.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.53 / $159.53 / $159.53
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $71.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.17 / $39.40 / $58.21