go back

Arizona rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $24.72 / $24.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $26.02 / $43.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $21.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $37.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $24.72 / $155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $15.98 / $25.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $15.52 / $25.84