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New Hampshire rates for HCPCS E2623

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.54 / $265.45 / $359.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.68 / $478.68 / $478.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.92 / $373.92 / $373.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $376.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.52 / $1,073.77 / $1,360.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $238.87 / $376.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.97 / $420.99 / $535.80