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Massachusetts rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.19 / $531.19 / $531.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.80 / $531.19 / $637.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.30 / $847.67 / $5,654.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.06 / $784.81 / $815.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $144.96 / $783.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $749.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $746.73 / $1,495.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,654.02 / $5,654.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.17 / $584.75 / $817.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.71 / $609.41 / $1,168.39