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Maine rates for HCPCS K0841

Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,467.37 / $3,801.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $3,630.78 / $3,715.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $4,265.80 / $4,265.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $371.54 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,951.21 / $4,786.30