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Minnesota rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.61 / $54.61 / $54.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $54.61 / $64.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.09 / $102.40 / $106.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $51.00 / $222.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $104.16 / $130.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.29 / $157.29 / $175.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $103.13 / $103.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $99.73 / $405.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $44.08 / $91.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $44.08 / $90.76