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New Hampshire rates for HCPCS E2385

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $41.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $46.77 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $16.60 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $46.77