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Massachusetts rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.69 / $450.69 / $450.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.67 / $450.69 / $680.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.30 / $3,065.51 / $3,065.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.04 / $685.25 / $747.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.80 / $94.47 / $856.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.18 / $714.18 / $755.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $844.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $1,167.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.61 / $650.61 / $650.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.25 / $685.25 / $685.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,065.51 / $3,065.51
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.84 / $430.94 / $770.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.84 / $508.33 / $728.08