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New Hampshire rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.36 / $1,424.97 / $1,424.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.16 / $1,691.16 / $1,691.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.10 / $2,583.10 / $2,583.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.61 / $1,901.61 / $1,901.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,916.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $1,825.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.40 / $5,912.88 / $7,494.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.01 / $1,288.68 / $1,479.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.75 / $1,910.99 / $2,432.16