go back

New Hampshire rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $22.45 / $22.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $41.32 / $41.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $31.34 / $31.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $34.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $31.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.03 / $92.72 / $117.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $21.43 / $28.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.24 / $39.04 / $49.70