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Maine rates for HCPCS E0994

Arm Rest Each (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $14.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.95 / $28.39 / $52.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $15.74 / $18.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $13.93 / $24.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $13.93 / $17.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $10.35 / $14.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $14.90 / $34.09