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Minnesota rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $84.01 / $84.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $84.01 / $101.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.88 / $160.44 / $162.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.69 / $152.11 / $163.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $337.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $158.69 / $199.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.92 / $238.92 / $265.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $157.13 / $157.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $158.15 / $632.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $73.68 / $178.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $74.90 / $178.01