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New Hampshire rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Facilitymedian $14 · 10th–90th $1–$220%20%10th90th$14Professionalmedian $14 · 10th–90th $10–$190%20%10th90th$14$1.0$2.0$5.0$10.0$20.0$50.0

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
$10.00 / $12.02 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $19.50 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $6.92 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $19.95
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62