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Minnesota rates for HCPCS E0953

Wheelchair Accessory Lateral Thigh Or Knee Support Any Type Including Fixed Mounting Hardware Each (Reinstated Code) Old Description: Pneumatic Tire Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.45 / $60.45 / $60.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $60.45 / $72.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.25 / $114.92 / $115.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $79.36 / $239.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $114.33 / $140.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.21 / $169.21 / $188.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $111.00 / $111.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.45 / $118.70 / $433.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $56.90 / $109.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $49.92 / $110.51