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Minnesota rates for HCPCS E2394

Power Wheelchair Accessory Drive Wheel Excludes Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.69 / $44.69 / $44.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $44.69 / $53.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.84 / $83.05 / $88.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $85.89 / $92.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $172.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.25 / $81.05 / $101.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.14 / $122.14 / $135.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.25 / $80.25 / $80.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $92.45 / $331.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $40.18 / $99.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $38.82 / $84.26