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Minnesota rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $108.68 / $108.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $108.68 / $130.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.35 / $192.36 / $235.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.73 / $207.17 / $223.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $112.20 / $404.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.50 / $193.13 / $238.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.98 / $285.98 / $318.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.50 / $187.50 / $187.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $81.37 / $801.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.08 / $122.70 / $174.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.08 / $82.36 / $225.36