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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
$470.85 / $540.66 / $540.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.02 / $608.02 / $608.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $584.72 / $687.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.47 / $491.20 / $491.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.77 / $828.51 / $1,054.47