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Minnesota rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.30 / $1,856.30 / $1,856.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.46 / $1,856.30 / $2,252.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,015.60 / $3,560.06 / $3,714.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.77 / $3,019.71 / $3,250.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $7,774.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,588.75 / $3,624.64 / $4,557.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,499.23 / $5,499.23 / $6,121.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,588.75 / $3,588.75 / $3,588.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $847.52 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.60 / $1,454.91 / $3,023.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.60 / $1,386.89 / $2,654.01