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Maine rates for HCPCS K0831

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $4,478.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,473.99 / $3,627.23 / $3,751.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,996.00 / $3,996.00 / $3,996.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,996.00 / $3,996.00 / $3,996.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,957.89 / $3,957.89 / $3,957.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $4,478.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.76 / $1,663.50 / $4,566.45