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New Hampshire rates for HCPCS E1296

Special wheelchair seat height from floor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.81 / $322.11 / $322.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.93 / $686.93 / $686.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.93 / $372.93 / $372.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $234.00 / $489.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.16 / $1,572.43 / $1,992.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.41 / $342.70 / $417.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.61 / $597.88 / $760.94