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New Hampshire rates for HCPCS E2390

Power Wheelchair Accessory Solid (Rubber/Plastic)Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $27.58 / $27.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $50.16 / $50.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $37.93 / $37.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $39.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $112.51 / $142.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.82 / $36.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $43.37 / $55.20