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New Hampshire rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $17.88 / $17.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.89 / $33.89 / $33.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.46 / $27.46 / $27.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $27.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $82.92 / $105.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $16.91 / $30.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $32.64 / $41.54