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New Hampshire rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed 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
$631.67 / $840.99 / $840.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.26 / $846.26 / $846.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $1,232.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.85 / $775.27 / $776.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.42 / $1,307.88 / $1,664.57