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Minnesota rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.77 / $1,899.77 / $1,899.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.02 / $1,899.77 / $2,287.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,924.70 / $3,429.90 / $4,485.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.71 / $3,186.38 / $3,429.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $9,559.24 / $26,549.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,611.25 / $3,827.93 / $4,586.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,505.19 / $9,730.64 / $20,905.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,611.25 / $3,611.25 / $3,696.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.50 / $1,085.77 / $17,045.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.55 / $1,253.32 / $2,552.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.55 / $1,620.63 / $3,915.80