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Maine rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.34 / $517.34 / $517.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.08 / $611.08 / $659.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $200.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.11 / $383.11 / $517.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.17 / $640.29 / $1,142.91