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Maine rates for HCPCS K0821

Power wheelchair, group 2 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.60 / $2,865.60 / $3,786.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.48 / $2,243.69 / $2,288.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,618.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $2,592.00 / $3,110.40
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
$2,249.19 / $2,865.60 / $3,786.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.03 / $1,952.20 / $3,731.14