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New Hampshire rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Facilitymedian $68 · 10th–90th $7–$950%20%10th90th$68Professionalmedian $102 · 10th–90th $81–$1120%50%10th90th$102$5.0$10.0$20.0$50.0$100.0$200.0

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
$81.28 / $91.20 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $75.86 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.33 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $93.33 / $162.18