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New Hampshire rates for HCPCS K0853

Power Wheelchair Group 3 Very Heavy Duty Captainchair Patient Weight Capacity 451 To 600 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,525.35 / $7,249.98 / $7,249.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,450.06 / $6,450.06 / $6,450.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,072.81 / $8,072.81 / $8,072.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.85 / $6,861.89 / $8,072.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,716.92 / $30,083.47 / $38,129.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,798.35 / $4,371.04 / $6,089.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,882.48 / $7,625.64 / $9,705.36