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New Hampshire rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $85.48 / $85.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $161.74 / $161.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $122.33 / $127.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $100.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $114.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.25 / $362.82 / $459.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $82.12 / $121.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.93 / $140.63 / $178.99