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Minnesota rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.64 / $615.64 / $615.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.10 / $615.64 / $814.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.10 / $1,078.00 / $1,150.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.17 / $1,001.46 / $1,078.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.00 / $687.90 / $2,577.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.75 / $1,200.64 / $1,509.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.15 / $1,823.15 / $2,029.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.75 / $1,188.75 / $1,188.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $306.58 / $5,025.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.27 / $501.79 / $1,024.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.27 / $501.79 / $1,472.82