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Massachusetts rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.04 / $605.04 / $605.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.16 / $605.04 / $822.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.10 / $1,085.60 / $5,719.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.79 / $1,065.22 / $1,253.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.49 / $1,455.49 / $1,497.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.83 / $1,132.44 / $1,132.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $1,091.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.26 / $542.66 / $1,327.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.48 / $1,031.48 / $1,031.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.61 / $848.61 / $848.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,719.94 / $5,719.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.45 / $662.52 / $993.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.45 / $662.52 / $1,253.20