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Minnesota rates for HCPCS E0957

Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.58 / $88.58 / $88.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.34 / $88.58 / $106.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.71 / $170.48 / $171.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.22 / $161.53 / $173.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $94.65 / $357.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.75 / $167.41 / $210.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.62 / $252.62 / $281.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.75 / $165.75 / $165.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.76 / $166.12 / $679.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $83.50 / $161.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $78.95 / $161.88