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New Hampshire rates for HCPCS E2633

Wheelchair Accessory Addition To Mobile Arm Support Supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $96.60 / $96.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.85 / $179.85 / $179.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.15 / $130.15 / $130.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $128.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $403.46 / $511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $90.79 / $143.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.55 / $161.27 / $205.25