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New Hampshire rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Facilitymedian $200 · 10th–90th $30–$4680%5%10th90th$200Professionalmedian $537 · 10th–90th $380–$5620%20%40%10th90th$537$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
$380.19 / $562.34 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $691.83 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $199.53 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $323.59 / $512.86