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Maine rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.65 / $312.91 / $312.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.13 / $354.13 / $393.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $505.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $517.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.17 / $383.17 / $383.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.65 / $217.84 / $312.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.84 / $202.00 / $296.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.84 / $256.56 / $478.98