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Massachusetts rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.76 / $1,380.76 / $1,380.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.61 / $1,380.76 / $2,346.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,473.38 / $3,500.00 / $14,043.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.22 / $2,978.23 / $3,086.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,037.48 / $2,037.48 / $3,768.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $2,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.77 / $1,786.79 / $4,579.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.96 / $2,576.96 / $2,576.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $14,043.28 / $14,043.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.33 / $1,576.58 / $2,406.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.52 / $1,700.30 / $2,978.23