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Massachusetts rates for HCPCS E0994

Arm Rest Each (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $10.76 / $10.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $10.76 / $16.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $60.90 / $117.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $23.22 / $24.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $15.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $22.22 / $22.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $13.93 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $13.93 / $30.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.97 / $117.04 / $117.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $12.29 / $18.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $12.29 / $23.49