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Massachusetts rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,202.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $8,128.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,000.00 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $218.78 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $1,230.27 / $2,137.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $870.96 / $1,258.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $8,128.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,023.29 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $389.05 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $870.96 / $1,737.80