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New Hampshire rates for HCPCS E2628

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.11 / $517.05 / $517.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.56 / $981.56 / $981.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.69 / $681.69 / $681.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $711.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.38 / $2,201.83 / $2,790.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $490.02 / $641.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.51 / $852.60 / $1,085.13