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Maine rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.39 / $724.39 / $1,129.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $453.36 / $500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $864.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $918.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.39 / $750.85 / $1,129.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.72 / $485.63 / $1,262.56