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Massachusetts rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.35 / $28.35 / $28.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $28.35 / $41.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $100.00 / $239.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $45.80 / $48.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.56 / $41.56 / $47.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $51.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $73.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $37.85 / $37.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $43.10 / $43.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $239.48 / $239.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $31.05 / $48.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $36.09 / $59.93