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New Hampshire rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.64 / $785.99 / $785.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.98 / $887.98 / $887.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $121.39 / $1,140.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.52 / $717.28 / $954.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.92 / $1,115.64 / $1,419.91