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New Hampshire rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $11.68 / $11.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.03 / $22.03 / $22.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $17.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $16.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $49.40 / $62.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $11.15 / $17.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $18.84 / $23.98