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New Hampshire rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $281.23 / $281.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $393.87 / $393.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $367.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.17 / $1,075.59 / $1,363.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $119.73 / $202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $177.57 / $355.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.26 / $450.12 / $572.88