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Maine rates for HCPCS E1231

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.72 / $1,751.72 / $1,751.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.50 / $1,844.50 / $1,844.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $1,080.00 / $1,080.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.67 / $783.67 / $1,543.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $1,751.72