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Maine rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.77 / $1,050.77 / $1,050.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.80 / $1,097.70 / $1,097.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $124.05 / $1,223.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.97 / $737.97 / $1,050.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.36 / $738.53 / $1,896.42