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New Hampshire rates for HCPCS E0304

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,901.86 / $3,901.86 / $4,682.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,036.25 / $3,578.90 / $4,055.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,428.68 / $4,428.68 / $4,428.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $422.50 / $422.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $2,163.84 / $4,550.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.49 / $2,993.24 / $5,971.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,313.15 / $5,886.86 / $7,492.37