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New Hampshire rates for HCPCS E1223

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.15 / $559.57 / $559.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.92 / $494.92 / $494.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $359.31 / $422.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.82 / $453.52 / $603.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.46 / $765.02 / $973.66