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Maine rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.70 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $53.70 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $33.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $37.15 / $37.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.70 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $21.38 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $32.36 / $52.48