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Maine rates for HCPCS E1084

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.58 / $820.58 / $820.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.13 / $857.22 / $857.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.09 / $305.64 / $359.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.58 / $535.58 / $820.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.34 / $576.67 / $1,481.13