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New Hampshire rates for HCPCS K0864

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

Facilitymedian $4,571 · 10th–90th $490–$13,1830%10%20%10th90th$4,571Professionalmedian $12,589 · 10th–90th $9,120–$19,0550%20%10th90th$12,589$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,589.25 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $15,848.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $11,220.18 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $19,054.61 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,445.44 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,244.36 / $19,054.61