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Minnesota rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.39 / $553.39 / $553.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.92 / $553.39 / $688.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $968.90 / $1,034.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.09 / $900.11 / $968.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $1,896.75 / $2,316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.75 / $1,100.81 / $1,357.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.45 / $1,638.45 / $1,823.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.75 / $1,068.75 / $1,068.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.28 / $259.29 / $4,248.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.62 / $424.11 / $866.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.62 / $435.33 / $906.43