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New Hampshire rates for HCPCS E1230

Power Operated Vehicle (Three Or Four Wheel Nonhighway) Specify Brand Name And Model Number (Special Coverage Instructions Apply. See Cim: 60-5 And Mcm: 4107.6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.61 / $1,568.54 / $1,568.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,160.19 / $3,160.19 / $3,160.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.58 / $1,715.58 / $1,715.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $1,786.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.77 / $1,786.79 / $2,273.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.96 / $7,233.81 / $9,168.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.33 / $1,576.58 / $1,922.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.57 / $2,720.72 / $3,462.73