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Massachusetts rates for HCPCS E2633

Wheelchair Accessory Addition To Mobile Arm Support Supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.02 / $87.02 / $87.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $87.02 / $128.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.06 / $153.94 / $802.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.37 / $148.41 / $174.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.75 / $157.79 / $157.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $157.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.95 / $70.53 / $189.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $143.72 / $143.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $90.62 / $90.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $802.71 / $802.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $94.85 / $139.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $99.53 / $191.98