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New Hampshire rates for HCPCS E2224

Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $59.66 / $59.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.74 / $122.74 / $122.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $73.04 / $95.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $73.04 / $88.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.08 / $275.32 / $348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $31.34 / $58.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $47.67 / $78.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $108.41 / $137.97