go back

Maine rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.37 / $397.37 / $397.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $415.19 / $415.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $407.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $268.86 / $397.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $279.27 / $717.27