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Maine rates for HCPCS E2609

Custom fabricated wheelchair seat cushion, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.00 / $1,002.38 / $4,033.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $390.00 / $390.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.50 / $390.00 / $390.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.44 / $808.44 / $808.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.00 / $1,002.38 / $4,033.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.44 / $808.44 / $808.44