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New Hampshire rates for HCPCS K0842

Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.80 / $3,085.80 / $3,279.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.98 / $2,945.98 / $2,945.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $3,078.57 / $3,621.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.45 / $11,044.39 / $13,998.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.80 / $1,852.20 / $3,641.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,280.21 / $3,634.40 / $4,625.60