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New Hampshire rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $186.46 / $186.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.19 / $311.19 / $311.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.32 / $241.32 / $241.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $207.77 / $263.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $698.07 / $884.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.78 / $160.16 / $193.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.57 / $273.20 / $347.70