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Minnesota rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $457.09 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $323.59 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $436.52 / $549.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $776.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $524.81 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $154.88 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $302.00 / $575.44