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Maine rates for HCPCS K0823

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,253.61 / $3,253.61 / $3,641.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.00 / $1,800.00 / $2,359.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.69 / $2,290.69 / $2,829.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $2,290.69 / $2,916.00
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
$2,736.07 / $3,253.61 / $3,641.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.17 / $243.40 / $2,829.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.73 / $2,374.85 / $4,228.20