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Massachusetts rates for HCPCS E2215

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

Facilitymedian $5 · 10th–90th $3–$130%20%10th90th$5Professionalmedian $6 · 10th–90th $5–$110%20%10th90th$6$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $8.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.30 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.23 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $15.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $10.96 / $10.96
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.30 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.23 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $4.68 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.32 / $13.80