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New Hampshire rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.02 / $45.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $51.29 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $16.98 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $28.84 / $51.29