go back

New Hampshire rates for HCPCS E1020

Residual Limb Support System For Wheelchair Any Type (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $122.60 / $123.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.35 / $205.35 / $205.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.21 / $173.21 / $185.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.98 / $123.98 / $126.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $123.98 / $194.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $464.13 / $588.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $101.08 / $194.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.87 / $225.89 / $287.49