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New Hampshire rates for HCPCS E2222

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.37 / $14.44 / $14.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.66 / $26.66 / $26.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $21.13 / $21.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $15.36 / $20.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $59.79 / $75.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $13.45 / $16.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $24.37 / $31.01