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New Hampshire rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $40.40 / $40.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.89 / $69.89 / $69.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $56.04 / $60.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $54.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $156.78 / $198.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $37.15 / $61.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.17 / $71.09 / $90.48