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Massachusetts rates for HCPCS K0890

Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.07 / $5,197.07 / $5,197.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.07 / $5,197.07 / $6,236.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,673.12 / $12,673.12 / $13,042.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,112.24 / $8,874.23 / $8,874.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,100.47 / $7,100.47 / $7,100.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $7,100.47 / $7,100.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,194.96 / $8,194.96 / $8,194.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00