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Massachusetts rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,566.54 / $4,566.54 / $4,566.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,394.04 / $4,566.54 / $6,491.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,498.12 / $5,786.00 / $7,016.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.19 / $4,673.39 / $5,718.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,103.27 / $7,178.52 / $7,178.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $6,797.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.60 / $3,818.66 / $15,145.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,522.65 / $8,522.65 / $8,522.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,628.80 / $4,628.80 / $4,628.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,016.64 / $7,016.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.39 / $3,476.08 / $5,305.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.19 / $3,748.90 / $8,522.65