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Maine rates for HCPCS E1228

Special back height for wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.43 / $234.43 / $234.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $244.80 / $288.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $324.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $240.50 / $240.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.58 / $164.58 / $234.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.77 / $164.66 / $422.77