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New Hampshire rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $89.13 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $120.23 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $43.65 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $123.03