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Maine rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $51.29 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $33.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $36.31 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.92 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $21.38 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $31.62 / $53.70