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New Hampshire rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Facilitymedian $162 · 10th–90th $16–$2950%20%10th90th$162Professionalmedian $302 · 10th–90th $214–$4470%20%10th90th$302$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $147.91 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $446.68 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $123.03 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $223.87 / $446.68