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Minnesota rates for HCPCS E2369

Power Wheelchair Component Drive Wheel Gear Box Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.74 / $282.74 / $282.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.66 / $282.74 / $340.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.30 / $542.88 / $578.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.39 / $510.49 / $549.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $1,128.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $530.25 / $666.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.37 / $798.37 / $888.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $525.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $172.10 / $1,865.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.15 / $249.37 / $519.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.15 / $340.93 / $713.06