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Maine rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.93 / $7.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $14.53 / $26.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $7.79 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $11.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $9.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.08 / $7.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.57 / $18.57