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Maine rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $724.44 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $295.12 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $977.24