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Maine rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $251.19 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $426.58 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $302.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $302.00 / $331.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $181.97 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $302.00 / $537.03