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New Hampshire rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.16 / $659.89 / $659.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.79 / $1,290.79 / $1,290.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.89 / $904.89 / $904.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $910.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.48 / $2,895.47 / $3,669.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.67 / $646.01 / $851.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.47 / $1,137.30 / $1,447.47