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Oregon 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
$71.37 / $71.37 / $71.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $42.37 / $243.87
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 / $65.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.75 / $72.95 / $228.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.37 / $74.94 / $99.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $74.94 / $81.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $88.81 / $105.39
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $88.81 / $96.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $71.37 / $99.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $74.36 / $93.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.04 / $81.04 / $81.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $39.40 / $78.79