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Minnesota rates for HCPCS E0969

Narrowing Device Wheelchair (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.22 / $131.22 / $131.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.93 / $131.22 / $147.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.02 / $251.67 / $262.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $203.30 / $218.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.00 / $134.41 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.88 / $256.41 / $322.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.06 / $389.06 / $433.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.88 / $253.88 / $253.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.91 / $218.84 / $997.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.87 / $103.63 / $219.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.87 / $101.32 / $219.75