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Maine rates for HCPCS K0828

Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,221.38 / $7,221.38 / $7,221.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,880.84 / $4,880.84 / $5,368.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,034.92 / $7,860.06 / $7,860.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.44 / $7,210.79 / $7,860.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,993.60 / $8,993.60 / $8,993.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.42 / $5,246.42 / $7,221.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.81 / $4,077.20 / $11,243.75