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Delaware rates for HCPCS E0995

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $20.16 / $20.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $18.57 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $15.88 / $19.82