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New Hampshire rates for HCPCS E2604

Skin protection wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $97.06 / $97.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.38 / $159.38 / $159.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $140.29 / $151.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $138.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.36 / $357.51 / $453.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $86.74 / $150.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $172.51 / $219.56