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Minnesota rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed 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
$1,060.09 / $1,060.09 / $1,060.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.56 / $1,060.09 / $1,286.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.20 / $1,856.30 / $1,981.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.60 / $1,724.50 / $1,856.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $3,634.87 / $4,438.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.25 / $2,133.30 / $2,605.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.87 / $3,139.87 / $3,495.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.25 / $2,051.25 / $2,051.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.62 / $483.89 / $7,933.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.02 / $791.98 / $1,616.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.02 / $744.02 / $1,616.65