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Minnesota rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.37 / $338.37 / $338.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.31 / $338.37 / $483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.70 / $592.50 / $632.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.35 / $550.42 / $592.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.00 / $407.81 / $1,415.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.50 / $659.03 / $828.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.94 / $1,000.94 / $1,114.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.50 / $652.50 / $652.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.43 / $181.71 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $297.33 / $607.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $312.52 / $635.49