go back

Maine rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.30 / $838.30 / $1,188.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.90 / $814.90 / $1,033.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,369.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $799.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.30 / $1,139.30 / $1,139.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.97 / $838.30 / $1,188.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $797.93 / $2,074.63