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New Hampshire rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $44.56 / $44.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $67.55 / $67.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $65.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $187.12 / $237.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $43.03 / $57.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $80.05 / $101.88