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Massachusetts rates for HCPCS E1222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.82 / $413.82 / $413.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $413.82 / $496.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.00 / $660.45 / $4,402.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.67 / $611.46 / $636.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.72 / $112.92 / $610.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $487.00 / $487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $659.87 / $1,335.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,402.87 / $4,402.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.08 / $455.51 / $636.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.67 / $474.53 / $909.84