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Minnesota rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.40 / $333.40 / $333.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.39 / $333.40 / $401.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.04 / $633.73 / $658.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.65 / $624.55 / $672.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $1,318.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.38 / $618.50 / $777.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.02 / $933.02 / $1,038.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.38 / $612.38 / $612.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.05 / $655.04 / $2,574.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.01 / $302.08 / $731.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $244.86 / $391.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.01 / $297.27 / $625.23