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New Hampshire rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,486.80 / $1,486.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.08 / $1,984.08 / $1,984.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,703.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,197.79 / $6,169.42 / $7,819.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.91 / $1,181.85 / $1,639.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.25 / $2,345.86 / $2,985.64