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Minnesota rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.89 / $820.89 / $820.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.78 / $820.89 / $846.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.60 / $1,437.50 / $1,534.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.34 / $1,335.44 / $1,437.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $3,436.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.25 / $1,602.11 / $2,014.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.86 / $2,430.86 / $2,705.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.25 / $1,586.25 / $1,586.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.21 / $374.67 / $6,143.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.99 / $613.11 / $1,251.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.99 / $629.34 / $1,173.28