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Minnesota rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.10 / $548.10 / $548.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.83 / $548.10 / $708.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.30 / $959.70 / $1,024.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.25 / $891.56 / $959.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $2,299.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.25 / $1,103.70 / $1,347.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.53 / $1,626.53 / $1,810.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.25 / $1,061.25 / $1,061.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.40 / $283.14 / $4,640.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.16 / $463.30 / $945.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.16 / $486.02 / $1,200.09