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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
$245.47 / $302.00 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $165.96 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $436.52