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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
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $93.33 / $120.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $144.54 / $194.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $123.03 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $158.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $112.20 / $112.20
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $95.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $144.54 / $194.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $109.65 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $21.38 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $91.20 / $128.82