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New Hampshire rates for HCPCS E1297

Special Wheelchair Seat Depth By Upholstery (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.23 / $68.53 / $68.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.24 / $124.24 / $124.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $102.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.31 / $284.39 / $360.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $61.98 / $71.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.59 / $108.13 / $137.62