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Minnesota rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.60 / $894.60 / $894.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.30 / $894.60 / $1,276.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.30 / $1,566.40 / $1,672.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.15 / $1,455.19 / $1,566.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.00 / $3,069.29 / $3,748.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.75 / $1,780.61 / $2,195.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.31 / $2,651.31 / $2,951.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.75 / $1,728.75 / $1,728.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.62 / $480.56 / $7,874.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.41 / $786.22 / $1,604.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.41 / $824.78 / $1,899.61