go back

Massachusetts rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.53 / $255.53 / $255.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $255.53 / $441.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.20 / $510.00 / $3,177.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.60 / $428.24 / $481.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.26 / $77.45 / $485.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.92 / $491.65 / $491.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $548.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $279.36 / $648.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.79 / $447.79 / $447.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.57 / $388.57 / $503.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,177.42 / $3,177.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $282.83 / $481.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.43 / $288.77 / $544.00