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Massachusetts rates for HCPCS E0957

Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.58 / $72.58 / $72.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.34 / $72.58 / $137.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.34 / $139.13 / $679.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $125.94 / $140.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $125.74 / $125.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $94.65 / $145.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $94.65 / $207.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.53 / $114.53 / $114.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.34 / $110.34 / $128.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $679.35 / $679.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.62 / $80.02 / $134.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.62 / $89.65 / $161.83