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Massachusetts rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $8,128.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,000.00 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $218.78 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $1,230.27 / $2,570.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $891.25 / $1,288.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $8,128.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,023.29 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $389.05 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $891.25 / $1,737.80