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Minnesota rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,075.47 / $4,075.47 / $4,075.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.38 / $4,075.47 / $4,944.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,620.60 / $7,815.98 / $8,155.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,303.70 / $6,629.62 / $7,136.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,958.00 / $17,072.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,878.75 / $7,957.54 / $10,006.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,076.87 / $12,076.87 / $13,443.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,878.75 / $7,878.75 / $7,878.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.65 / $1,916.39 / $30,495.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.98 / $3,194.18 / $7,000.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.98 / $3,199.79 / $8,937.04