go back

New Hampshire rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.66 / $585.21 / $585.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.51 / $677.51 / $677.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $651.64 / $766.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.74 / $547.16 / $728.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.30 / $913.31 / $1,162.39