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New Hampshire rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $691.83 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $234.42 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $602.56