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Massachusetts rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $57.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $70.79 / $331.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $64.57 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $79.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $61.66 / $61.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $70.79 / $331.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $66.07 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $27.54 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $58.88 / $85.11