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Maine rates for HCPCS K0056

Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair

Facilitymedian $74 · 10th–90th $8–$1380%20%10th90th$74Professionalmedian $76 · 10th–90th $68–$950%20%40%10th90th$76$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $138.04 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $74.13 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $95.50 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $60.26 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $95.50 / $131.83