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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
$766.92 / $766.92 / $766.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.97 / $766.92 / $920.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.70 / $1,223.99 / $8,161.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.36 / $1,133.15 / $1,180.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.36 / $209.29 / $1,131.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.00 / $1,037.00 / $1,037.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $1,223.23 / $2,160.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,161.83 / $8,161.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.09 / $844.58 / $1,180.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.36 / $879.68 / $1,686.62