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Massachusetts rates for HCPCS E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.59 / $4.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $15.79 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $7.20 / $7.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.74 / $6.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $10.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $4.71 / $5.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $80.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.84 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.03 / $8.16