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New Hampshire rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.97 / $774.14 / $774.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.06 / $1,033.06 / $1,033.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $750.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.30 / $3,198.13 / $4,053.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $697.80 / $990.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.71 / $1,206.26 / $1,535.24