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Massachusetts rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.61 / $1,128.61 / $1,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.36 / $1,128.61 / $2,035.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.26 / $2,458.64 / $12,064.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.35 / $2,331.56 / $2,522.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.40 / $1,665.40 / $3,080.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.60 / $2,328.60 / $2,328.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.00 / $1,460.50 / $1,916.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $3,743.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.40 / $2,106.40 / $2,106.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.08 / $1,479.08 / $1,841.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,064.38 / $12,064.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.01 / $1,288.68 / $1,966.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.97 / $1,288.68 / $2,522.56