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New Hampshire rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.54 / $283.37 / $283.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.25 / $426.25 / $426.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.98 / $392.98 / $392.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $327.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $327.62 / $332.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.18 / $1,089.66 / $1,381.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $236.69 / $413.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.18 / $468.88 / $596.75