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Maryland rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.02 / $796.34 / $1,080.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.36 / $975.36 / $1,149.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $886.07 / $886.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.43 / $1,500.09 / $1,995.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.79 / $806.21 / $1,178.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.25 / $890.23 / $1,318.44