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Minnesota rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.96 / $52.96 / $52.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.82 / $52.96 / $63.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.13 / $101.23 / $105.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $219.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $105.06 / $129.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.50 / $155.50 / $173.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $91.76 / $407.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $45.96 / $97.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $45.96 / $119.30