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Minnesota rates for HCPCS E2392

Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.17 / $32.17 / $32.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $32.17 / $38.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.45 / $60.47 / $63.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.22 / $60.27 / $64.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $125.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $59.09 / $74.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.77 / $88.77 / $98.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $58.50 / $58.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $64.88 / $239.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.49 / $70.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $31.05 / $88.27