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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
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $912.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $776.25 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $169.82 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $831.76 / $1,995.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $794.33 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $302.00 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,348.96