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Massachusetts rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $26.50 / $26.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.51 / $26.50 / $45.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.78 / $100.00 / $275.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $47.83 / $56.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.39 / $50.39 / $50.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $50.84 / $50.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $56.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $83.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $46.31 / $46.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $40.31 / $40.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $275.26 / $275.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.16 / $29.30 / $49.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.49 / $36.81 / $59.31