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Maine rates for HCPCS E1092

Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,023.29 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $851.14 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,621.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $537.03 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $1,621.81