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Maine rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $273.73 / $380.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.19 / $395.08 / $732.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.14 / $302.72 / $302.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $404.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $300.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.98 / $273.98 / $273.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $273.73 / $380.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.15 / $273.98 / $532.42