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Connecticut rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.28 / $67.08 / $71.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.30 / $69.44 / $69.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $44.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $37.68 / $37.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $54.94 / $77.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $54.32 / $54.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $43.94 / $77.68