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Maine rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $203.91 / $210.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.90 / $184.85 / $342.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.13 / $138.69 / $141.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $184.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $205.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $203.91 / $399.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $138.44 / $326.32