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Maine rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $36.32 / $36.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.08 / $54.64 / $101.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $38.15 / $41.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $53.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $46.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $37.89 / $37.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.87 / $21.71 / $36.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $27.10 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.42 / $37.35 / $76.56