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Massachusetts rates for HCPCS E2386

Power Wheelchair Accessory Foam Filled Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.19 / $79.19 / $79.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $79.19 / $95.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.14 / $158.04 / $582.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $102.99 / $122.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.51 / $150.51 / $150.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.07 / $93.07 / $132.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $137.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $180.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $84.77 / $84.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.41 / $120.41 / $120.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $582.10 / $582.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $80.83 / $135.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $80.83 / $157.38