go back

Massachusetts rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.38 / $226.38 / $226.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $226.38 / $271.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.87 / $569.10 / $2,669.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $355.78 / $409.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.10 / $334.10 / $334.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.25 / $420.69 / $420.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $470.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $238.50 / $615.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.17 / $383.17 / $383.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $386.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,669.26 / $2,669.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.47 / $202.96 / $359.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $156.22 / $254.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.31 / $215.90 / $400.26