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Maine rates for HCPCS K0853

Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,867.87 / $7,867.87 / $7,867.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,450.06 / $8,386.70 / $8,386.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,072.81 / $8,072.81 / $8,547.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.85 / $8,072.81 / $8,072.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,716.92 / $10,716.92 / $10,716.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,525.35 / $5,525.35 / $7,867.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.03 / $4,371.04 / $8,761.53