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New Hampshire rates for HCPCS K0861

Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,979.26 / $5,661.31 / $5,661.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,456.90 / $8,456.90 / $8,456.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,488.00 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.31 / $4,232.09 / $4,978.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,368.48 / $23,491.16 / $29,774.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.46 / $3,382.76 / $4,456.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,374.42 / $5,954.74 / $7,578.76