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Minnesota rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.61 / $619.61 / $619.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.33 / $619.61 / $884.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.60 / $1,085.00 / $1,158.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.37 / $1,007.97 / $1,085.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $2,594.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.25 / $1,208.21 / $1,519.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.06 / $1,835.06 / $2,042.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.25 / $1,196.25 / $1,196.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $332.82 / $5,455.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $544.66 / $1,111.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $572.44 / $1,328.39