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Massachusetts rates for HCPCS E1236

Wheelchair, pediatric size, folding, adjustable, with seating system

Facilitymedian $1,000 · 10th–90th $123–$1,9050%20%40%10th90th$1,000Professionalmedian $1,230 · 10th–90th $871–$1,8200%20%10th90th$1,230$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,174.90 / $1,737.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,905.46 / $10,471.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,318.26 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $1,071.52 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $1,071.52 / $2,630.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,995.26 / $1,995.26
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,819.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,905.46 / $10,471.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,318.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $549.54 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,318.26 / $2,238.72