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Massachusetts rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.40 / $522.40 / $522.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.40 / $522.40 / $918.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,581.31 / $7,369.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $807.42 / $997.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.78 / $152.78 / $157.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.90 / $1,188.64 / $1,188.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $1,317.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $795.00 / $1,964.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.61 / $1,082.61 / $1,082.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,369.29 / $7,369.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.70 / $668.58 / $1,059.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.70 / $674.82 / $1,366.20