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Massachusetts rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.82 / $815.82 / $815.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.49 / $815.82 / $978.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.71 / $1,252.35 / $2,572.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.35 / $847.71 / $1,252.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.54 / $55.10 / $1,203.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.69 / $604.69 / $1,178.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $1,019.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.75 / $750.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.94 / $667.94 / $762.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,572.03 / $2,572.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.70 / $473.75 / $896.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.57 / $485.63 / $896.91