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New Hampshire rates for HCPCS E0957

Wheelchair Accessory Medial Thigh Support Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.34 / $78.42 / $78.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.62 / $115.62 / $124.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $94.65 / $124.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $94.65 / $121.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.53 / $321.50 / $407.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $73.27 / $110.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.58 / $134.71 / $171.44