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New Hampshire rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.38 / $3,749.26 / $3,749.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,415.20 / $5,415.20 / $5,415.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $2,958.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.34 / $2,900.00 / $3,891.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.07 / $2,980.60 / $3,891.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,338.88 / $5,915.36 / $7,528.64