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Massachusetts rates for HCPCS E2629

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Frictionarm Support (Friction Dampening To Proximal And Distal Joints)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.37 / $524.37 / $524.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.37 / $524.37 / $810.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.97 / $997.07 / $5,453.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.72 / $988.86 / $1,163.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.17 / $1,351.17 / $1,390.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.91 / $1,051.27 / $1,051.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $1,040.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.72 / $394.97 / $1,311.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.56 / $957.56 / $957.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.72 / $654.72 / $654.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,453.18 / $5,453.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.34 / $598.73 / $929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.34 / $690.14 / $1,293.36