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Massachusetts rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.33 / $545.33 / $545.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.66 / $545.33 / $654.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.70 / $870.14 / $5,804.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.08 / $805.60 / $836.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.59 / $148.81 / $804.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.61 / $766.64 / $1,537.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,804.45 / $5,804.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.12 / $600.37 / $839.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.08 / $625.40 / $1,199.48