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New Hampshire rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $28.54 / $28.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.42 / $47.42 / $47.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.86 / $41.86 / $45.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $40.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $106.36 / $134.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $17.04 / $27.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $25.58 / $43.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.91 / $49.76 / $63.34