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Massachusetts rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $108.67 / $108.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $108.67 / $578.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.19 / $173.49 / $831.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $165.19 / $175.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $24.37 / $25.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.50 / $146.50 / $176.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $181.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $110.00 / $234.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $129.06 / $129.06
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.23 / $165.23 / $165.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.23 / $165.23 / $165.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $831.06 / $831.06
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $94.29 / $186.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $122.57 / $185.89