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New Hampshire rates for HCPCS E1093

Wide Heavy Duty Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.82 / $851.89 / $851.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.37 / $838.37 / $838.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $707.88 / $707.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $601.70 / $707.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.69 / $677.12 / $999.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.38 / $971.00 / $1,235.82