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Maine rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.50 / $819.50 / $819.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.01 / $855.93 / $855.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $840.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $571.37 / $819.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.78 / $575.66 / $1,478.84