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Maine rates for HCPCS K0849

Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,494.25 / $5,494.25 / $5,813.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,504.27 / $5,856.70 / $5,856.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $5,969.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.63 / $3,087.00 / $3,790.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,483.78 / $7,483.78 / $7,483.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,858.51 / $5,494.25 / $5,813.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.91 / $3,052.36 / $7,019.55