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Maine rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $49.91 / $49.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.92 / $80.53 / $149.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.67 / $53.67 / $59.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $72.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $59.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $55.85 / $55.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $30.55 / $49.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $45.55 / $84.13