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Minnesota rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.90 / $34.90 / $34.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $34.90 / $42.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $66.64 / $69.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $59.19 / $63.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $144.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.80 / $85.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $102.48 / $114.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.13 / $67.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $60.66 / $272.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $31.11 / $67.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $32.18 / $67.80