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New Hampshire rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $26.49 / $26.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.97 / $45.97 / $45.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $38.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $41.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $38.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $103.10 / $130.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $26.60 / $37.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $45.85 / $58.35