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New Hampshire rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $42.30 / $42.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $73.06 / $73.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $58.44 / $63.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $48.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $63.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $163.91 / $207.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $41.77 / $77.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.80 / $69.58 / $88.55