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New Hampshire rates for HCPCS K0853

Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $7,244.36 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $8,128.31 / $8,128.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $11,481.54 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $870.96 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,265.80 / $11,481.54