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Maine rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.39 / $670.39 / $670.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.02 / $700.42 / $700.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $687.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.85 / $470.85 / $670.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.17 / $471.25 / $1,210.21