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Maine rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $74.38 / $92.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.74 / $143.16 / $265.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $91.40 / $91.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $121.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $64.67 / $102.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.31 / $101.31 / $101.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.23 / $74.38 / $92.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.76 / $88.47 / $142.54