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Massachusetts rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.14 / $613.14 / $613.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.97 / $613.14 / $1,105.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.22 / $1,151.43 / $7,677.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.95 / $978.83 / $1,096.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.76 / $160.76 / $165.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.76 / $1,250.83 / $1,250.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,369.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $606.51 / $2,034.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.30 / $1,139.30 / $1,139.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.22 / $932.22 / $932.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,677.52 / $7,677.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.48 / $698.58 / $1,185.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $757.43 / $1,403.30