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Maine rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $338.84 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $416.87 / $436.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $263.03 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $416.87 / $707.95