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Maine rates for HCPCS E2203

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 20 To Less Than 22 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.74 / $415.14 / $488.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.08 / $553.83 / $1,026.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.69 / $388.69 / $398.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $539.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $408.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.08 / $384.08 / $384.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.24 / $415.14 / $488.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.69 / $435.38 / $846.56