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New Hampshire rates for HCPCS E2622

Skin Protection Wheelchair Seat Cushion Adjustablewidth Less Than 22 Inches Any Depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.82 / $209.58 / $283.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.53 / $378.53 / $378.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.85 / $293.85 / $293.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $223.93 / $297.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.49 / $849.12 / $1,076.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $188.58 / $278.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.50 / $331.84 / $422.34