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Maryland rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.73 / $262.33 / $357.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.83 / $312.83 / $348.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $146.85 / $172.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.09 / $473.98 / $600.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.24 / $249.21 / $383.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.58 / $325.58 / $433.84