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New Hampshire rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.43 / $526.49 / $750.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.43 / $408.43 / $408.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.00 / $674.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $414.49 / $896.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.61 / $932.48 / $1,186.79