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Massachusetts rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.80 / $271.80 / $271.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.54 / $271.80 / $395.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.25 / $542.40 / $1,924.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.15 / $413.26 / $464.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.22 / $426.22 / $455.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.11 / $327.62 / $327.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.42 / $327.62 / $689.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.18 / $388.18 / $388.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.26 / $413.26 / $413.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,924.42 / $1,924.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.54 / $270.52 / $464.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.54 / $294.77 / $439.08