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Minnesota rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $33.68 / $40.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.66 / $64.20 / $64.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $61.31 / $66.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $133.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $62.49 / $78.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.73 / $94.73 / $105.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $61.88 / $61.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $65.69 / $247.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $28.62 / $71.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $22.82 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $28.62 / $71.79