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Minnesota rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $660.69 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $380.19 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $660.69 / $831.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,174.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $562.34 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $302.00 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $213.80 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $407.38 / $758.58