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New Hampshire rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $724.44 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $213.80 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $724.44