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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
$25.51 / $32.02 / $32.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.95 / $57.95 / $57.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.66 / $44.66 / $44.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $45.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $130.00 / $164.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $42.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $50.61 / $64.41