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Massachusetts rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.18 / $39.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $81.28 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $44.67 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $47.86 / $47.86
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $81.28 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $45.71 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $17.38 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $33.11 / $61.66