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Maine rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $35.15 / $35.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.32 / $66.78 / $123.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.24 / $38.76 / $44.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $56.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $45.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $46.31 / $46.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $25.51 / $35.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.01 / $44.88 / $87.27