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Oregon 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
Facility
Modifier
Low / Median / High Price
$73.72 / $73.72 / $73.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $41.47 / $237.59
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 / $44.33 / $67.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.94 / $73.20 / $236.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.28 / $67.81 / $90.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $67.81 / $81.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.34 / $88.14 / $105.74
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.34 / $81.34 / $90.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.28 / $64.59 / $90.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $78.98 / $88.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $116.42 / $136.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $78.98 / $78.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.63 / $41.08 / $78.98