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Maine rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.14 / $202.87 / $771.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.53 / $190.35 / $352.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.27 / $134.88 / $144.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $181.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $110.00 / $133.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $129.06 / $129.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.57 / $202.87 / $771.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.04 / $122.57 / $270.57