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New Hampshire rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $685.63 / $685.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.01 / $743.01 / $743.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $714.80 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.67 / $600.17 / $798.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.92 / $1,012.61 / $1,288.77