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Minnesota rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.61 / $698.61 / $698.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.72 / $698.61 / $896.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.90 / $1,223.30 / $1,305.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.16 / $1,136.45 / $1,223.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $2,922.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,404.00 / $1,714.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.42 / $2,067.42 / $2,301.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.95 / $375.26 / $6,150.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.57 / $614.04 / $1,253.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.57 / $829.76 / $1,873.16