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Massachusetts rates for HCPCS K0831

Power wheelchair, group 2 standard, seat elevator, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,663.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,996.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $3,914.10 / $4,109.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.80 / $3,326.98 / $3,914.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,853.82 / $4,853.82 / $4,995.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.22 / $3,596.68 / $3,596.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,915.00 / $4,893.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,957.89 / $3,957.89 / $3,957.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.00 / $1,774.40 / $3,540.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.00 / $2,107.10 / $3,762.02