go back

New Hampshire rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $17.55 / $17.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $26.78 / $26.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $26.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $71.22 / $90.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $15.38 / $20.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $27.08 / $34.47