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Massachusetts rates for HCPCS K0855

Power Wheelchair Group 3 Extra Heavy Duty Captains Chair Patient Weight Capacity 601 Poundsor More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,186.14 / $7,186.14 / $7,186.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,914.66 / $7,186.14 / $8,623.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,652.11 / $9,105.10 / $11,041.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,262.64 / $7,354.29 / $8,998.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.59 / $1,905.59 / $1,961.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,030.70 / $11,296.32 / $11,296.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,697.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.52 / $10,102.62 / $23,835.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,411.64 / $13,411.64 / $13,411.64
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,284.08 / $7,284.08 / $7,284.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,041.73 / $11,041.73
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,646.75 / $5,470.12 / $8,349.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,174.51 / $5,470.12 / $10,707.60