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Massachusetts rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.15 / $137.15 / $137.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.15 / $137.15 / $247.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.17 / $260.77 / $1,550.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.02 / $256.81 / $302.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $273.01 / $273.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $291.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $244.43 / $448.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $248.68 / $248.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.33 / $210.33 / $210.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,550.44 / $1,550.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $156.86 / $248.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $160.16 / $362.64