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Massachusetts rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed 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
$772.42 / $772.42 / $772.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.67 / $772.42 / $926.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.59 / $2,000.00 / $8,222.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.76 / $1,141.53 / $1,233.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.84 / $210.81 / $1,139.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $872.00 / $872.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $2,051.25 / $2,564.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,222.39 / $8,222.39
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.33 / $850.22 / $1,189.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.76 / $886.13 / $1,785.86