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Maine rates for HCPCS E1086

Hemi-wheelchair, detachable arms, desk or full-length, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.15 / $638.15 / $638.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.51 / $911.51 / $984.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $359.59 / $359.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.67 / $472.67 / $638.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.53 / $625.70 / $1,409.80