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Maine rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $50.74 / $50.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.01 / $84.20 / $156.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $53.28 / $58.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $74.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $48.02 / $66.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $58.39 / $58.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $38.57 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $44.23 / $85.54