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New Hampshire rates for HCPCS E1015

Reclining Back, Addi To Pediatr Size Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.38 / $76.27 / $76.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.97 / $137.97 / $137.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $113.82 / $113.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $112.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $309.51 / $392.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $70.58 / $110.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.62 / $133.63 / $170.09