go back

Maine rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.59 / $103.59 / $103.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.18 / $186.37 / $345.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.28 / $106.29 / $122.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $150.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $116.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.25 / $129.25 / $129.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $76.89 / $103.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.33 / $126.08 / $263.10