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Massachusetts rates for HCPCS K0891

Power wheelchair, group 5 pediatric, multiple 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
$7,762.47 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $13,489.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $11,748.98 / $14,454.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00