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Maryland rates for HCPCS E1297

Special Wheelchair Seat Depth By Upholstery (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $65.27 / $91.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.15 / $76.15 / $94.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $52.79 / $63.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.97 / $118.03 / $146.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $65.84 / $115.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $86.72 / $124.24