go back

Indiana rates for HCPCS E0966

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.59 / $55.59 / $55.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $46.67 / $55.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $67.55 / $91.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $65.56 / $113.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $63.56 / $104.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $36.61 / $102.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $44.49 / $63.70