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Massachusetts rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.44 / $33.71 / $52.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.61 / $100.00 / $305.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $63.67 / $66.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.06 / $64.06 / $64.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $59.63 / $59.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $64.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $87.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $54.30 / $54.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.22 / $45.22 / $45.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $305.83 / $305.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $35.93 / $60.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $43.92 / $74.18