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West Virginia 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
$40.90 / $49.75 / $54.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $44.28 / $66.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $45.43 / $63.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $100.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $56.47 / $74.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $58.44 / $58.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $46.95 / $67.97