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New Hampshire rates for HCPCS E1200

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

Facilitymedian $339 · 10th–90th $39–$8130%10%10th90th$339Professionalmedian $661 · 10th–90th $437–$7240%20%40%10th90th$661$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $707.95 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $630.96 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $257.04 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $416.87 / $645.65
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15