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Massachusetts rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $40.08 / $40.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $40.08 / $59.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.25 / $100.00 / $344.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $70.94 / $73.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $76.18 / $76.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.11 / $64.11 / $67.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $74.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $102.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $58.39 / $58.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.94 / $60.94 / $60.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $344.64 / $344.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $43.81 / $69.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $54.77 / $76.18