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Maine rates for HCPCS K0861

Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,143.76 / $6,143.76 / $6,501.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,512.00 / $6,549.24 / $8,456.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $6,674.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.31 / $4,232.09 / $4,978.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,368.48 / $8,368.48 / $8,368.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,863.36 / $6,143.76 / $6,501.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.46 / $4,319.25 / $12,203.10