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Minnesota rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $19.37 / $23.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $37.25 / $38.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $32.57 / $35.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $80.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.88 / $47.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.20 / $57.20 / $63.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $32.95 / $151.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $17.26 / $37.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $25.32 / $54.72