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Massachusetts rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.27 / $94.27 / $94.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $94.27 / $113.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $146.00 / $196.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $121.65 / $146.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.90 / $90.90 / $90.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.79 / $111.79 / $157.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $88.70 / $88.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $96.35 / $196.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $7.27 / $7.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $72.70 / $94.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $196.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $12.37 / $125.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $14.33 / $129.76