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New Hampshire rates for HCPCS G0372

Physician service required to establish and document the need for a power mobility device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $8.47 / $9.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $8.61 / $11.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.22 / $18.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $15.84 / $29.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $15.84 / $30.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $9.48 / $19.67