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Maine rates for HCPCS G0372

Physician service required to establish and document the need for a power mobility device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $8.61 / $9.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.90 / $16.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $17.43 / $17.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $12.40 / $22.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.61 / $9.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $12.50 / $17.48