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Minnesota rates for HCPCS E2375

Power Wheelchair Accessory Non-Expandable Controller Including All Related Electronics And Mounting Hardware Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.58 / $513.58 / $513.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.61 / $513.58 / $618.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.79 / $967.08 / $1,058.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.88 / $932.34 / $1,003.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $2,013.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.75 / $943.09 / $1,185.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.96 / $1,423.96 / $1,585.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.75 / $933.75 / $933.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.12 / $327.64 / $2,957.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $395.35 / $823.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $385.15 / $812.69