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New Hampshire rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.97 / $823.03 / $823.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.80 / $961.80 / $961.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $130.25 / $1,223.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.89 / $738.61 / $1,024.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.98 / $1,298.53 / $1,652.67