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New Hampshire rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.58 / $756.13 / $756.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.13 / $744.13 / $744.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.09 / $305.64 / $359.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.22 / $601.09 / $799.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.92 / $998.21 / $1,270.44