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Maine rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.42 / $1,848.76 / $2,080.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.26 / $2,976.51 / $5,517.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.40 / $1,615.40 / $1,901.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.94 / $1,460.50 / $2,520.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $1,825.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.40 / $2,106.40 / $2,106.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.14 / $1,848.76 / $2,080.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.12 / $1,288.68 / $2,963.55