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Minnesota rates for HCPCS E1250

Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.26 / $432.26 / $432.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.26 / $432.26 / $627.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.55 / $662.55 / $3,900.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.04 / $662.55 / $662.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $1,541.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.25 / $693.11 / $871.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.31 / $1,090.31 / $1,213.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.25 / $686.25 / $686.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $803.40 / $3,516.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.83 / $458.00 / $880.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.83 / $458.00 / $909.45