go back

Minnesota rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,348.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,905.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $281.84 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $281.84 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $630.96 / $1,230.27