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New Hampshire rates for HCPCS K0004

High strength, lightweight wheelchair

Facilitymedian $302 · 10th–90th $36–$6610%10%20%10th90th$302Professionalmedian $437 · 10th–90th $407–$7590%20%40%10th90th$437$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $724.44 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $562.34 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $380.19 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $288.40 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $380.19 / $954.99
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84