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Massachusetts rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $33.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $41.69 / $194.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $33.11 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $48.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $37.15 / $37.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $41.69 / $194.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $33.88 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $13.18 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $26.30 / $46.77