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New Hampshire rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $40.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $47.86 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $14.79 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $27.54 / $47.86