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New Hampshire rates for HCPCS E0955

Wheelchair Accessory Headrest Cushioned Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $102.56 / $128.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.41 / $160.41 / $160.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $139.97 / $139.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $131.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $161.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.54 / $394.51 / $500.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.81 / $83.71 / $171.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.26 / $176.46 / $224.59