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Maine rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $113.82 / $113.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.78 / $207.24 / $384.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.15 / $130.15 / $130.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $157.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $128.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $143.72 / $143.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $85.75 / $113.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $97.61 / $221.33