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Minnesota rates for HCPCS E2386

Power Wheelchair Accessory Foam Filled Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.68 / $82.68 / $82.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $82.68 / $99.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.34 / $149.57 / $166.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.69 / $168.37 / $181.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $311.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $145.82 / $183.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.45 / $220.45 / $245.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $144.38 / $144.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.57 / $181.24 / $582.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $72.20 / $184.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $72.20 / $218.02