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Massachusetts rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.02 / $598.02 / $598.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $598.02 / $717.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.80 / $954.24 / $6,367.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.78 / $883.51 / $920.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.60 / $163.22 / $882.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $878.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.59 / $840.94 / $1,982.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,367.66 / $6,367.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.44 / $658.51 / $920.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.78 / $686.00 / $1,315.86