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Maine rates for HCPCS K0851

Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,373.58 / $6,373.58 / $6,570.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,225.00 / $6,793.85 / $6,793.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,539.60 / $6,539.60 / $6,924.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.44 / $6,539.60 / $6,539.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,681.52 / $8,681.52 / $8,681.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,475.91 / $6,373.58 / $6,570.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,360.59 / $3,540.88 / $8,681.52