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New Hampshire rates for HCPCS E2221

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

Facilitymedian $17 · 10th–90th $1–$330%20%10th90th$17Professionalmedian $20 · 10th–90th $15–$280%20%10th90th$20$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $24.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $8.51 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $28.18
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49