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Maine rates for HCPCS E1088

High Strength Lightweight Wheelchair Detachable Arms Desk Or Full Length 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
$1,261.15 / $1,261.15 / $1,261.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.60 / $1,317.41 / $1,317.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.70 / $396.70 / $396.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.88 / $396.70 / $396.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.81 / $752.81 / $1,261.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.90 / $886.34 / $1,885.87