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Maine rates for HCPCS E1083

Hemi-Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.67 / $625.67 / $625.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.79 / $688.06 / $688.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $75.52 / $766.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.26 / $403.26 / $625.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.26 / $666.06 / $1,188.93