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Maine rates for HCPCS K0859

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,258.10 / $7,258.10 / $7,258.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,375.04 / $7,736.70 / $8,913.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,447.14 / $7,447.14 / $7,885.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.86 / $7,447.14 / $7,447.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,886.34 / $9,886.34 / $9,886.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,097.12 / $5,097.12 / $7,258.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,640.77 / $4,032.28 / $11,191.60