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Maine rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.32 / $310.32 / $310.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.73 / $434.84 / $806.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.30 / $321.44 / $370.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $461.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $349.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.72 / $385.72 / $385.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $227.80 / $310.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.46 / $308.11 / $754.72