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Massachusetts rates for HCPCS E1089

High Strength Lightweight Wheelchair Fixed Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.98 / $743.98 / $743.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.51 / $743.98 / $892.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,090.37 / $5,967.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.50 / $1,113.73 / $1,340.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.80 / $1,082.80 / $2,696.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $916.00 / $916.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.40 / $1,234.50 / $1,543.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,967.71 / $5,967.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.62 / $838.94 / $1,296.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.62 / $838.94 / $1,233.22