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Massachusetts rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.54 / $589.54 / $589.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.58 / $589.54 / $707.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.00 / $952.83 / $6,374.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.46 / $871.06 / $941.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.33 / $160.88 / $869.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $763.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $359.59 / $1,687.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,374.98 / $6,374.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.02 / $659.51 / $921.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.46 / $687.04 / $1,317.38