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New Jersey rates for HCPCS E0995

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.85 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.18 / $29.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $13.49 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.38 / $30.20