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Maine rates for HCPCS K0850

Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,628.68 / $6,628.68 / $7,026.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,434.25 / $7,065.90 / $7,065.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,704.40 / $3,704.40 / $7,201.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $3,704.40 / $6,026.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,029.00 / $9,029.00 / $9,029.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,655.17 / $6,628.68 / $7,026.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.84 / $3,682.60 / $10,221.17