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New Hampshire rates for HCPCS E1092

Wide Heavy Duty Wheel Chair Detachable Arms (Desk Or Full Length) 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
$641.70 / $990.55 / $990.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.83 / $974.83 / $974.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.04 / $860.04 / $860.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $860.04 / $860.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.29 / $626.71 / $1,047.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.16 / $1,129.21 / $1,437.17