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Minnesota rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,918.31 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,165.95 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $8,511.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $12,022.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,754.40 / $30,199.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $2,187.76 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $4,365.16 / $8,128.31