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New Hampshire rates for HCPCS K0195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $93.33 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $89.13 / $97.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $9.33 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $81.28 / $112.20