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Maine rates for HCPCS K0842

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,779.42 / $3,779.42 / $4,845.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.98 / $3,982.62 / $3,982.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,646.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $3,621.85 / $3,738.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.45 / $3,934.45 / $3,934.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,279.75 / $3,779.42 / $4,845.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.80 / $2,209.01 / $4,790.80