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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
$204.17 / $229.09 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $302.00 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $120.23 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $316.23