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New Hampshire rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.44 / $33.64 / $33.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $67.95 / $67.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.09 / $52.09 / $55.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $49.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $152.43 / $193.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $34.54 / $51.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.23 / $58.97 / $75.05