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Massachusetts rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.28 / $54.28 / $54.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.23 / $54.28 / $109.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.30 / $118.24 / $640.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $113.10 / $121.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $80.09 / $80.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.85 / $112.00 / $112.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $68.06 / $74.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $208.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.31 / $101.31 / $101.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $107.95 / $107.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $640.17 / $640.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $61.98 / $111.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.76 / $61.98 / $124.24