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New Hampshire rates for HCPCS E2626

Wheelchair Accessory Shoulder Elbow Moblie Arm Support Attached To Wheelchair Balanced Adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.61 / $426.96 / $426.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.59 / $820.59 / $820.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.09 / $567.09 / $567.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.13 / $278.13 / $278.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.03 / $278.13 / $588.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.74 / $1,840.73 / $2,333.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.75 / $409.12 / $533.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.82 / $716.66 / $912.11