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New Hampshire rates for HCPCS K0828

Power Wheelchair Group 2 Extra Heavy Duty Sling/Solid Seat/Back Patient Weight Capacity 601 Pounds Or More

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.42 / $5,940.21 / $5,940.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,076.80 / $5,076.80 / $5,076.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.06 / $7,860.06 / $7,860.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.44 / $6,681.05 / $7,860.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,993.60 / $25,245.93 / $31,998.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.96 / $3,962.88 / $5,459.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,726.80 / $6,345.16 / $8,075.66