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Maine rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.72 / $3,060.72 / $3,060.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.15 / $2,344.01 / $2,852.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $2,671.66 / $2,671.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.23 / $2,862.23 / $2,862.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.30 / $2,670.30 / $3,060.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.47 / $1,798.50 / $3,807.60