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Maine rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.92 / $187.92 / $187.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.41 / $358.58 / $664.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.32 / $241.32 / $241.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $291.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $207.77 / $263.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $248.68 / $248.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $158.97 / $187.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $180.99 / $360.12