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New Hampshire rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $32.36 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $9.77 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $32.36