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Minnesota rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.91 / $47.91 / $47.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.70 / $47.91 / $57.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.11 / $89.71 / $93.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.41 / $90.51 / $97.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $186.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.63 / $87.49 / $110.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.27 / $132.27 / $147.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.63 / $86.63 / $86.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.95 / $97.43 / $349.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.51 / $41.14 / $103.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.51 / $41.14 / $103.28