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Maine rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $52.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.99 / $68.76 / $127.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $39.46 / $45.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $58.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $46.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $47.68 / $47.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $36.00 / $52.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $30.62 / $73.98