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New Hampshire rates for HCPCS K0859

Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,097.12 / $6,688.08 / $6,688.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,913.34 / $8,913.34 / $8,913.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,447.14 / $7,447.14 / $7,447.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.86 / $6,330.07 / $7,447.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,886.34 / $27,751.94 / $35,174.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.83 / $4,032.28 / $4,032.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,349.15 / $7,034.72 / $8,953.28