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Massachusetts rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.78 / $16.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.61 / $45.27 / $99.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $18.45 / $21.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $20.50 / $20.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $19.32 / $19.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $20.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $29.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $17.60 / $17.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.27 / $99.12 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $11.90 / $20.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $12.31 / $23.83