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Minnesota rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.14 / $1,616.14 / $1,616.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,616.14 / $1,960.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.40 / $3,099.48 / $3,234.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.26 / $2,629.07 / $2,830.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $6,771.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.75 / $3,154.99 / $3,967.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,790.22 / $4,790.22 / $5,332.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.75 / $3,123.75 / $3,123.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $737.82 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,207.33 / $2,464.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,239.28 / $2,464.64