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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
$3,464.56 / $3,464.56 / $3,464.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,257.78 / $3,464.56 / $4,170.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,666.90 / $6,676.21 / $6,966.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,552.92 / $5,691.15 / $6,126.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $14,495.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,731.25 / $6,798.56 / $8,548.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,253.71 / $10,253.71 / $11,413.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,731.25 / $6,731.25 / $6,731.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.41 / $5,805.40 / $30,467.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.64 / $3,087.80 / $6,656.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.64 / $3,813.28 / $9,779.84