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Maine rates for HCPCS E1180

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.58 / $847.58 / $847.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.71 / $885.53 / $885.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.06 / $344.45 / $344.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.28 / $595.28 / $847.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.22 / $595.83 / $1,530.03