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Maine rates for HCPCS E2629

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Frictionarm Support (Friction Dampening To Proximal And Distal Joints)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.74 / $748.74 / $748.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.48 / $1,380.77 / $2,559.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.67 / $862.67 / $862.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $1,040.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $394.97 / $897.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.56 / $957.56 / $957.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.34 / $568.34 / $748.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.69 / $647.00 / $1,744.87