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Massachusetts rates for HCPCS E2628

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.81 / $455.81 / $455.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.11 / $455.81 / $681.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.14 / $813.84 / $4,343.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.97 / $810.02 / $952.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.80 / $1,106.80 / $1,139.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.75 / $861.15 / $861.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $822.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.98 / $369.39 / $1,046.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.38 / $784.38 / $784.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $514.35 / $514.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,343.22 / $4,343.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.85 / $506.53 / $753.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.85 / $506.53 / $1,025.41