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New Hampshire rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $311.27 / $311.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $360.42 / $360.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $346.64 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $291.07 / $387.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.29 / $491.16 / $625.11