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Maryland 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
$35.31 / $43.57 / $60.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.51 / $49.51 / $53.42
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 / $30.22 / $65.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $70.73 / $84.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $44.18 / $67.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $63.64 / $67.55