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Maine rates for HCPCS K0854

Power Wheelchair Group 3 Extra Heavy Duty Sling/Solid Seat/Back Patient Weight Capacity 601 Pounds Or More

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,423.15 / $10,423.15 / $10,423.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,544.87 / $11,110.40 / $11,110.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $11,324.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $10,694.63 / $10,694.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,197.49 / $14,197.49 / $14,197.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,319.82 / $7,319.82 / $10,423.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,860.43 / $5,688.55 / $13,316.70