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Massachusetts rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $323.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $363.08 / $1,737.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $316.23 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $302.00 / $302.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $338.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $363.08 / $1,737.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $323.59 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $125.89 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $295.12 / $467.74