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New Hampshire rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.58 / $840.42 / $840.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.97 / $1,189.97 / $1,189.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $642.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $642.26 / $661.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.74 / $3,393.05 / $4,300.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.16 / $756.24 / $1,140.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.16 / $1,335.29 / $1,699.46