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New Hampshire rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.23 / $365.46 / $365.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.89 / $199.89 / $199.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $450.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $383.25 / $450.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.01 / $1,569.20 / $1,988.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $164.81 / $418.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.20 / $345.30 / $470.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.63 / $622.27 / $791.98