go back

Maine rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.92 / $566.92 / $961.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.23 / $861.11 / $1,596.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.01 / $599.01 / $716.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $844.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $586.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.61 / $650.61 / $650.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.67 / $566.92 / $961.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.70 / $547.00 / $1,178.40