go back

Minnesota rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.74 / $323.74 / $323.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $323.74 / $389.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.63 / $601.91 / $641.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $440.85 / $1,252.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.63 / $587.44 / $738.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.95 / $885.95 / $986.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.63 / $581.63 / $581.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.24 / $669.33 / $2,391.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $283.64 / $657.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $283.64 / $657.71