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Minnesota rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.25 / $136.25 / $136.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.49 / $136.25 / $164.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.21 / $215.17 / $306.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.57 / $349.45 / $376.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $169.65 / $448.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.75 / $209.83 / $263.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.97 / $316.97 / $352.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.75 / $207.75 / $207.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $376.16 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $159.49 / $291.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $149.85 / $291.26