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New Hampshire rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $309.39 / $309.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.61 / $430.61 / $430.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $375.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.79 / $1,256.99 / $1,593.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $278.39 / $388.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.01 / $488.62 / $621.88