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New Hampshire rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $485.02 / $485.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.33 / $839.33 / $839.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.76 / $699.76 / $699.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $705.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.72 / $1,882.78 / $2,386.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.67 / $449.50 / $670.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.27 / $858.98 / $1,093.25