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Massachusetts rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.06 / $52.06 / $52.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.04 / $52.06 / $52.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $123.58 / $258.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $48.67 / $51.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $54.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $84.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.50 / $41.50 / $41.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $17.95 / $17.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $258.29 / $258.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $30.42 / $46.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $17.70 / $37.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $32.56 / $51.09