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New Hampshire rates for HCPCS E2374

Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.38 / $337.24 / $337.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.44 / $473.44 / $473.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.73 / $283.73 / $423.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.85 / $283.73 / $415.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.54 / $1,365.77 / $1,731.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.32 / $303.48 / $427.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.21 / $534.27 / $679.98