go back

New Hampshire rates for HCPCS K0815

Power wheelchair, group 1 standard, 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
$2,267.42 / $2,267.42 / $2,670.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.72 / $2,852.72 / $2,852.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $2,270.91 / $2,671.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.23 / $8,034.57 / $10,183.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.76 / $1,403.64 / $2,862.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.96 / $2,815.34 / $3,583.16