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Massachusetts rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $14.40 / $14.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $14.40 / $17.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.44 / $65.75 / $153.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $26.73 / $31.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $27.36 / $27.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $28.42 / $28.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $31.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $46.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $25.88 / $25.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $21.89 / $21.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.75 / $153.85 / $153.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $16.14 / $27.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $21.89 / $31.45