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Minnesota rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $181.97 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $309.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $181.97 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $77.62 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $67.61 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $125.89 / $229.09