go back

New Hampshire rates for HCPCS E1004

Wheelchair Accessory Power Seating System Recline Only With Mechanical Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.16 / $3,178.54 / $3,178.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,316.60 / $4,316.60 / $4,316.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $3,895.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,639.20 / $13,022.70 / $16,505.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.64 / $2,859.96 / $3,895.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,491.72 / $4,976.72 / $6,334.02