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New Hampshire rates for HCPCS E0995

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

Facilitymedian $13 · 10th–90th $1–$250%10%10th90th$13Professionalmedian $18 · 10th–90th $13–$280%20%10th90th$18$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $27.54 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $10.00 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.49 / $27.54
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12