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Massachusetts rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.57 / $43.57 / $43.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $43.57 / $52.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.58 / $100.00 / $405.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $72.77 / $82.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.29 / $64.29 / $64.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $73.19 / $73.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $51.00 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $128.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $57.10 / $74.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $405.24 / $405.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $46.39 / $67.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $50.30 / $90.44