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New Hampshire rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.49 / $281.55 / $281.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.58 / $375.58 / $375.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $172.77 / $292.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.22 / $1,168.36 / $1,480.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.22 / $223.83 / $292.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.89 / $444.18 / $565.32