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New Hampshire rates for HCPCS E1089

High Strength Lightweight Wheelchair Fixed Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.51 / $768.08 / $768.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.35 / $1,072.35 / $1,072.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.40 / $894.40 / $894.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.32 / $733.98 / $1,209.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.49 / $1,234.83 / $1,571.61