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New Hampshire rates for HCPCS K0850

Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,655.17 / $6,108.10 / $6,108.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,434.25 / $5,434.25 / $5,434.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,704.40 / $3,704.40 / $3,704.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $3,148.74 / $3,704.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,029.00 / $25,345.31 / $32,124.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,357.69 / $3,649.76 / $5,210.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,798.62 / $6,424.74 / $8,176.94