go back

New Hampshire rates for HCPCS 97755

Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with written report, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.02 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $61.66 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $79.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70