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Oregon rates for HCPCS E0995

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $95.36
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 / $25.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $29.27 / $87.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $31.92 / $36.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $27.48 / $32.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $33.65 / $39.02
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $32.52 / $35.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $29.08 / $42.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $29.08 / $33.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $31.70 / $31.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $15.98 / $30.39