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Wyoming rates for HCPCS E0995

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.26 / $16.26 / $29.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.57 / $31.57 / $31.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $21.85 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $16.66 / $27.13