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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
$10.56 / $13.95 / $27.58
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 / $37.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.43 / $28.43 / $28.63
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $21.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $17.95 / $31.24