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New Hampshire rates for HCPCS E1016

Shock Absorber For Manual Wheelchair, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $73.17 / $73.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.47 / $136.47 / $136.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.57 / $107.57 / $109.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $88.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $115.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.05 / $306.11 / $387.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.51 / $69.76 / $105.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $121.87 / $155.11