go back

New Hampshire rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $202.89 / $219.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.86 / $342.86 / $342.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.14 / $292.14 / $292.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $325.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $319.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.98 / $769.09 / $974.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.16 / $225.41 / $298.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.03 / $415.53 / $528.85