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New Hampshire rates for HCPCS E1237

Wheelchair Pediatric Size Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.02 / $1,274.05 / $1,274.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.29 / $1,700.29 / $1,700.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.39 / $1,071.00 / $1,071.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $1,071.00 / $1,459.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.38 / $5,286.84 / $6,700.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.24 / $972.04 / $1,322.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.34 / $2,010.25 / $2,558.50