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Maine rates for HCPCS E0954

Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.02 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $79.43 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $67.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $56.23 / $56.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.02 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $28.18 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $48.98 / $81.28