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Maine rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.41 / $339.41 / $519.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.68 / $373.64 / $430.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $548.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $375.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.79 / $447.79 / $447.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.78 / $339.41 / $519.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $332.60 / $842.28