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Massachusetts rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.70 / $28.70 / $28.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $28.70 / $34.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $100.00 / $247.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $46.04 / $49.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $41.60 / $48.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $53.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $77.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $37.89 / $37.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $43.64 / $43.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $247.19 / $247.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $31.65 / $49.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $22.82 / $35.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $32.36 / $52.80