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Minnesota rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.33 / $45.33 / $45.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $45.33 / $54.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.14 / $85.09 / $90.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.52 / $85.64 / $92.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $176.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $82.95 / $104.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.12 / $125.12 / $139.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $82.13 / $82.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $91.73 / $344.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $40.29 / $99.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $40.29 / $99.28