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New Hampshire rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $281.64 / $281.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.63 / $480.63 / $480.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.43 / $398.43 / $398.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $437.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.08 / $1,078.15 / $1,366.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.14 / $259.72 / $383.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.04 / $515.26 / $655.79