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New Hampshire rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,319.82 / $9,604.60 / $9,604.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,544.87 / $8,544.87 / $8,544.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $9,090.44 / $10,694.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,197.49 / $39,853.76 / $50,513.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,707.25 / $5,790.64 / $7,292.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,117.81 / $10,000.00 / $10,000.00