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New Hampshire rates for HCPCS E2375

Power Wheelchair Accessory Non-Expandable Controller Including All Related Electronics And Mounting Hardware Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.67 / $461.79 / $461.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.30 / $747.30 / $747.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.41 / $649.41 / $701.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $420.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.61 / $1,826.33 / $2,314.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.06 / $377.03 / $685.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.92 / $822.03 / $1,046.22