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New Hampshire rates for HCPCS K0857

Power Wheelchair Group 3 Standard Single Power Option Captains Chair Patient Weight Capacity Upto And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,394.04 / $5,765.57 / $5,765.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,129.43 / $5,129.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,245.86 / $3,818.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,522.65 / $23,923.93 / $30,322.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.39 / $3,476.08 / $8,522.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,473.38 / $6,064.38 / $7,718.30