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Minnesota rates for HCPCS E1180

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.05 / $849.05 / $849.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.97 / $849.05 / $875.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.20 / $1,486.70 / $1,586.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.92 / $1,381.14 / $1,486.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $3,554.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.50 / $1,658.93 / $2,085.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.28 / $2,514.28 / $2,798.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.50 / $1,642.50 / $1,642.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.43 / $387.63 / $6,352.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.28 / $634.32 / $1,294.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.28 / $651.10 / $1,861.83