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Massachusetts rates for HCPCS E1086

Hemi-wheelchair, detachable arms, desk or full-length, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $676.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $5,370.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,041.74 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $1,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $5,370.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $316.23 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $977.24