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Maine rates for HCPCS E1015

Reclining Back, Addi To Pediatr Size Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.73 / $93.73 / $119.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.08 / $158.97 / $294.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.07 / $99.39 / $113.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.76 / $93.52 / $142.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $112.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $110.26 / $110.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.38 / $93.73 / $119.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $78.55 / $220.06