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Maine rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,380.38 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,071.52 / $1,318.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,041.74 / $2,041.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,380.38 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $1,148.15 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $2,089.30