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Massachusetts rates for HCPCS E2395

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

Facilitymedian $28 · 10th–90th $4–$1000%20%40%10th90th$28Professionalmedian $29 · 10th–90th $24–$460%20%40%10th90th$29$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $42.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $47.86 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $45.71 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $63.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $45.71
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $47.86 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $45.71 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $19.95 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $41.69 / $63.10