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Maine rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.99 / $565.99 / $565.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.79 / $592.30 / $592.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $659.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $382.93 / $565.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.14 / $362.57 / $847.86