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New Hampshire rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $126.86 / $158.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.52 / $189.52 / $189.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.21 / $152.21 / $164.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $169.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $425.11 / $538.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $139.25 / $249.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.91 / $249.19 / $317.16