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Massachusetts rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.07 / $290.07 / $290.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $290.07 / $348.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.00 / $446.51 / $3,087.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $411.00 / $446.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.10 / $428.10 / $428.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.00 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $407.81 / $815.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,087.50 / $3,087.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.01 / $319.29 / $446.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $332.69 / $638.03