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Massachusetts rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.03 / $70.03 / $70.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.38 / $70.03 / $114.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.76 / $133.94 / $671.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $121.49 / $135.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.41 / $121.05 / $121.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.76 / $93.52 / $142.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $215.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $110.26 / $110.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $68.81 / $68.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $671.25 / $671.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $75.45 / $125.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $78.11 / $133.94