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New Hampshire rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,454.71 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $2,398.83 / $2,398.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,754.23 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $239.88 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $2,754.23