go back

Massachusetts rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $13.60 / $22.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.24 / $90.77 / $155.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $26.64 / $30.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.28 / $23.28 / $23.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.03 / $28.99 / $28.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.67 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $47.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $25.37 / $25.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $20.26 / $20.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $155.56 / $155.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.92 / $15.98 / $28.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.92 / $17.63 / $30.39