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Maine rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed 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
$1,058.40 / $1,058.40 / $1,058.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.26 / $1,105.78 / $1,105.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $1,232.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.67 / $631.67 / $1,058.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.76 / $743.64 / $1,910.23