go back

Massachusetts rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.35 / $164.35 / $164.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $164.35 / $197.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.48 / $327.97 / $908.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.41 / $184.00 / $249.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.20 / $314.20 / $323.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.92 / $171.92 / $266.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $235.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $126.72 / $241.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $151.44 / $151.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.46 / $226.46 / $226.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $908.34 / $908.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $143.71 / $265.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $153.75 / $290.08