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New Hampshire rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Facilitymedian $166 · 10th–90th $21–$4070%10%10th90th$166Professionalmedian $363 · 10th–90th $269–$3980%50%10th90th$363$20.0$50.0$100.0$200.0$500.0

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
$269.15 / $389.05 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $346.74 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $138.04 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $229.09 / $354.81