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Massachusetts rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.56 / $496.56 / $496.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $496.56 / $747.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.72 / $819.93 / $4,173.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.44 / $780.89 / $863.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.42 / $946.42 / $974.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.42 / $736.37 / $736.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $927.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $1,297.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.72 / $670.72 / $670.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $650.72 / $650.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,173.16 / $4,173.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.70 / $517.39 / $786.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.98 / $594.12 / $831.69