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Massachusetts rates for HCPCS E1190

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.90 / $658.90 / $658.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.64 / $658.90 / $790.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.38 / $1,064.93 / $7,607.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.83 / $973.46 / $1,064.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.72 / $179.82 / $972.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.00 / $835.00 / $835.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.39 / $1,140.20 / $2,371.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,607.79 / $7,607.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.95 / $786.76 / $1,100.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.52 / $819.85 / $1,572.13