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Massachusetts rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.74 / $236.74 / $236.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $236.74 / $284.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.37 / $472.44 / $1,933.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.79 / $359.95 / $410.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.85 / $423.52 / $423.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $461.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $656.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.72 / $385.72 / $385.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.95 / $395.95 / $395.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,933.58 / $1,933.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.23 / $271.82 / $410.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.59 / $328.65 / $404.95