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New Hampshire rates for HCPCS K0849

Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,011.87 / $6,918.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $3,090.30 / $3,090.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $7,943.28 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $616.60 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,019.95 / $7,943.28