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Maine rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.69 / $369.69 / $483.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.62 / $584.11 / $1,082.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.62 / $384.62 / $426.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $551.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.05 / $353.55 / $422.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.08 / $405.08 / $405.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.42 / $369.69 / $483.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.37 / $425.41 / $864.75