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Massachusetts rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,969.56 / $2,969.56 / $2,969.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.38 / $2,969.56 / $4,335.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,891.39 / $5,646.48 / $31,607.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.54 / $4,134.60 / $5,311.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.46 / $787.46 / $810.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,147.26 / $6,126.78 / $6,126.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $6,630.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.00 / $2,900.00 / $9,848.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,377.85 / $4,377.85 / $5,540.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $31,607.17 / $31,607.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.50 / $3,406.81 / $4,571.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.67 / $3,428.35 / $6,531.53