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Minnesota rates for HCPCS E2376

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.02 / $916.02 / $916.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.81 / $916.02 / $1,102.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.80 / $1,739.49 / $1,815.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.84 / $1,526.07 / $1,642.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $3,781.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $1,772.55 / $2,228.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.14 / $2,675.14 / $2,977.77
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $1,755.00 / $1,755.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.41 / $1,512.60 / $8,276.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.16 / $816.49 / $1,789.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.16 / $795.44 / $1,720.45