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Minnesota rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.22 / $569.22 / $569.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $569.22 / $685.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.45 / $1,074.64 / $1,103.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $763.12 / $2,236.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.38 / $1,048.76 / $1,318.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.85 / $1,581.85 / $1,760.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.38 / $1,038.38 / $1,038.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.13 / $1,136.49 / $4,173.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $488.48 / $1,130.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $488.48 / $1,130.77