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New Hampshire rates for HCPCS K0851

Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,475.91 / $5,873.05 / $5,873.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,225.00 / $5,225.00 / $5,225.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,539.60 / $6,539.60 / $6,539.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.44 / $5,558.66 / $6,539.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,681.52 / $24,369.89 / $30,887.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.85 / $3,509.28 / $5,009.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,575.36 / $6,177.38 / $7,862.12