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Massachusetts rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.14 / $2,775.14 / $2,775.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.30 / $2,775.14 / $3,330.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.40 / $3,516.30 / $4,264.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.32 / $2,687.37 / $3,341.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.40 / $3,142.31 / $3,142.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $2,671.66 / $5,643.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.23 / $2,862.23 / $2,862.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,264.28 / $4,264.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.04 / $1,724.55 / $2,766.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.50 / $1,798.50 / $3,434.80