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New Hampshire rates for HCPCS E1130

Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.90 / $304.58 / $304.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.80 / $416.80 / $416.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $354.68 / $354.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.04 / $291.07 / $479.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.51 / $504.69 / $642.33