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Maine rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.78 / $809.78 / $7,390.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.01 / $1,014.01 / $1,014.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $1,317.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $1,107.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.61 / $1,082.61 / $1,082.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.90 / $809.78 / $7,390.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $668.58 / $1,536.28