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New Hampshire rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $29.70 / $29.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.37 / $47.37 / $47.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $40.54 / $43.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $39.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $106.25 / $134.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.46 / $43.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $46.98 / $59.79