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Minnesota rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $86.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $86.36 / $106.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.61 / $144.02 / $153.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $133.79 / $144.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $362.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.88 / $168.54 / $211.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.19 / $256.19 / $285.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.88 / $166.88 / $166.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $144.02 / $640.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $69.34 / $144.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $71.84 / $158.41