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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
$436.80 / $670.64 / $670.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $660.00 / $660.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $634.72 / $746.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.71 / $511.68 / $709.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.96 / $889.66 / $1,132.29