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Maine rates for HCPCS E2617

Custom Fabricated Wheelchair Back Cushion Any Size Including Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $673.49 / $3,603.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.50 / $637.50 / $750.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $405.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $405.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.28 / $800.28 / $800.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $695.78 / $3,603.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.28 / $800.28 / $800.28