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Maryland rates for HCPCS E1004

Wheelchair Accessory Power Seating System Recline Only With Mechanical Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.10 / $2,969.62 / $4,966.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,138.60 / $4,138.68 / $4,138.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $2,790.46 / $3,282.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,401.88 / $6,002.09 / $7,967.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.38 / $3,164.88 / $5,112.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,741.77 / $3,741.77 / $4,934.59