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Massachusetts rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,476.84 / $4,476.84 / $4,476.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,972.91 / $4,476.84 / $6,364.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,390.07 / $5,674.97 / $6,878.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.40 / $4,594.00 / $5,605.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,003.01 / $7,037.35 / $7,037.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $4,321.80 / $6,664.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.36 / $4,321.80 / $14,850.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,355.14 / $8,355.14 / $8,355.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,105.07 / $5,105.07 / $6,232.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,878.76 / $6,878.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.84 / $3,407.76 / $5,201.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.84 / $3,407.76 / $6,830.67