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Minnesota rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.98 / $1,894.98 / $1,894.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.93 / $1,894.98 / $2,299.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,931.81 / $3,160.19 / $3,373.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,348.65 / $2,935.82 / $3,160.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $7,938.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.75 / $3,700.39 / $4,652.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,615.42 / $5,615.42 / $6,250.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.75 / $3,663.75 / $3,663.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.13 / $3,160.19 / $14,043.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.40 / $1,499.27 / $3,173.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.40 / $1,702.18 / $4,925.76