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New Hampshire rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.55 / $1,707.74 / $1,707.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.06 / $2,279.06 / $2,279.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $1,956.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,524.46 / $7,086.44 / $8,981.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.08 / $1,080.49 / $1,772.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.87 / $2,694.45 / $3,429.30