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Maine rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.50 / $342.50 / $395.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.23 / $491.17 / $910.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.76 / $361.25 / $396.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.11 / $327.62 / $327.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $327.62 / $332.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.18 / $388.18 / $388.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.54 / $342.50 / $395.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $343.39 / $712.36