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Massachusetts rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.45 / $292.45 / $292.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $292.45 / $488.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.24 / $491.84 / $2,391.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.32 / $466.63 / $499.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.66 / $421.66 / $422.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $539.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $581.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.08 / $384.08 / $384.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.69 / $289.69 / $421.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,391.90 / $2,391.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.60 / $300.62 / $450.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.57 / $383.24 / $608.04