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Maine rates for HCPCS K0814

Power Wheelchair Group 1 Standard Portable Captains Chair Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.59 / $2,720.59 / $3,534.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $2,122.10 / $2,583.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.31 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $2,416.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.94 / $2,530.94 / $2,530.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.21 / $2,720.59 / $3,534.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.36 / $1,822.55 / $4,273.97