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New Hampshire rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $741.31 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $257.04 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $645.65