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New Hampshire rates for HCPCS E2215

Manual Wheelchair Accessory Tube For Pneumatic Ca Ster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.70 / $6.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $12.61 / $12.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $9.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $28.32 / $35.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.53 / $10.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.21 / $14.27