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New Hampshire rates for HCPCS K0813

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $2,238.72 / $2,238.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,754.23 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $234.42 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $2,754.23