go back

Maine rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.33 / $305.57 / $322.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.27 / $325.89 / $375.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $497.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $172.77 / $322.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.22 / $416.22 / $416.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.49 / $279.33 / $322.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.49 / $250.04 / $551.62