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Massachusetts rates for HCPCS E2385

Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $41.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $52.48 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $45.71 / $51.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $63.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $46.77 / $46.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $52.48 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $46.77 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $18.62 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $38.02 / $57.54