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Maine rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $90.29 / $136.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.62 / $157.25 / $291.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $93.27 / $107.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $132.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $115.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.05 / $109.05 / $109.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $90.29 / $136.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.95 / $109.05 / $229.13