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Maine rates for HCPCS K0816

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,896.06 / $2,896.06 / $2,896.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.32 / $2,304.10 / $2,655.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $2,254.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $2,254.90 / $2,867.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,553.89 / $2,553.89 / $2,553.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.41 / $2,557.41 / $2,896.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $1,987.45 / $4,549.64