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Maine rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.02 / $795.02 / $795.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.39 / $1,487.38 / $2,757.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.89 / $904.89 / $904.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $1,091.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $910.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.48 / $1,031.48 / $1,031.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.16 / $596.16 / $795.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.67 / $646.01 / $1,545.47