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Minnesota rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $19.97 / $24.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.98 / $37.40 / $39.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $34.58 / $37.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $23.00 / $80.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $38.25 / $48.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.20 / $57.20 / $63.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $36.60 / $155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $17.37 / $36.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $17.32 / $35.31