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Maine rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.63 / $22.39 / $26.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $22.40 / $26.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $21.85 / $32.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $26.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $25.37 / $25.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $22.39 / $26.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $20.82 / $46.62