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New Hampshire rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.90 / $743.02 / $743.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.01 / $1,014.01 / $1,014.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $810.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $810.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.61 / $3,039.02 / $3,851.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.70 / $668.58 / $807.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.06 / $1,044.89 / $1,329.86