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Maine rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $106.42 / $106.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.70 / $110.80 / $112.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $88.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $75.40 / $88.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $83.85 / $106.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $27.42 / $145.97