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New Hampshire rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $912.49 / $912.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.25 / $812.25 / $812.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $886.07 / $1,042.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.66 / $592.29 / $989.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.16 / $1,255.52 / $1,597.93