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New Hampshire rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $40.96 / $40.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.13 / $67.13 / $67.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.10 / $59.10 / $71.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $48.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $58.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.64 / $150.57 / $190.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.51 / $36.77 / $68.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.84 / $72.95 / $92.86