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Massachusetts rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.85 / $2,561.85 / $2,561.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.16 / $2,561.85 / $4,540.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,895.24 / $4,750.52 / $31,577.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.73 / $4,090.00 / $4,524.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.20 / $5,093.27 / $5,093.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $5,636.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $3,282.89 / $8,414.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,639.20 / $4,639.20 / $4,639.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.24 / $3,895.24 / $3,895.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $31,577.81 / $31,577.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.64 / $2,881.68 / $4,896.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.71 / $3,556.38 / $5,636.40