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Massachusetts rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.62 / $1,352.62 / $1,352.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.55 / $1,352.62 / $1,623.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,215.73 / $2,571.98 / $14,397.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.49 / $1,994.16 / $2,419.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.68 / $358.68 / $369.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.28 / $2,790.80 / $2,790.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $3,020.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $4,485.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,524.46 / $2,524.46 / $2,524.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.58 / $1,772.58 / $2,422.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $14,397.39 / $14,397.39
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.78 / $1,551.76 / $2,082.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.49 / $1,561.52 / $2,975.18