go back

Minnesota rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.85 / $980.85 / $980.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.40 / $980.85 / $1,190.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.40 / $1,717.50 / $1,833.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.45 / $1,595.56 / $1,717.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.00 / $3,365.87 / $4,110.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.50 / $1,954.43 / $2,409.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,907.50 / $2,907.50 / $3,236.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.50 / $1,897.50 / $1,897.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.03 / $447.80 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $732.74 / $1,495.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $768.68 / $1,787.42