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New Hampshire rates for HCPCS E2388

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

Facilitymedian $38 · 10th–90th $3–$590%20%10th90th$38Professionalmedian $35 · 10th–90th $25–$510%20%10th90th$35$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $45.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $51.29 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $16.98 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $51.29
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98