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Minnesota rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.22 / $114.22 / $114.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $114.22 / $137.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.56 / $209.28 / $259.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.15 / $211.44 / $227.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $131.69 / $437.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $204.53 / $257.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.82 / $309.82 / $344.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $202.50 / $202.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.34 / $114.22 / $911.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $133.26 / $186.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $87.78 / $187.51