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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
$7,748.77 / $7,748.77 / $7,748.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,748.77 / $7,748.77 / $9,298.52
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
$16,783.14 / $16,783.14 / $17,272.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,743.12 / $11,752.33 / $11,752.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,619.91 / $11,619.91 / $11,619.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,876.92 / $11,619.91 / $11,619.91
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,852.74 / $10,852.74 / $10,852.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00