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Maine rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.78 / $727.78 / $727.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $760.30 / $760.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $746.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.80 / $436.80 / $727.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.06 / $511.58 / $1,313.74