go back

Maine rates for HCPCS E2632

Wheelchair Accessory Addition To Mobile Arm Support Offset Or Lateral Rocker Arm With Elastic Balance Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.16 / $136.16 / $136.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.46 / $251.93 / $466.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.44 / $153.44 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $185.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $83.15 / $158.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.72 / $174.72 / $174.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.09 / $101.09 / $136.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.97 / $109.46 / $264.52