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Maine rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $57.10 / $62.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.91 / $59.19 / $67.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $82.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $65.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.93 / $52.59 / $62.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $45.89 / $110.90