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Maine rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.58 / $927.58 / $1,506.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.67 / $1,032.53 / $1,189.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,490.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $642.26 / $864.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.74 / $1,208.74 / $1,208.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.58 / $927.58 / $1,506.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.44 / $1,184.76 / $1,908.78