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Massachusetts rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $602.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $3,630.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $630.96 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $724.44 / $724.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $3,630.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $660.69 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $218.78 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $870.96