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New Hampshire rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,914.66 / $9,072.95 / $9,072.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,071.90 / $8,071.90 / $8,071.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.40 / $8,587.24 / $10,102.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,411.64 / $37,647.81 / $47,717.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,646.75 / $5,421.32 / $6,820.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,613.14 / $9,543.16 / $10,000.00