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Minnesota rates for HCPCS E2615

Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.62 / $270.62 / $270.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.20 / $270.62 / $325.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.65 / $509.12 / $529.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.81 / $506.02 / $544.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $371.51 / $1,059.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $496.92 / $624.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.52 / $749.52 / $834.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $492.00 / $492.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.01 / $544.69 / $1,990.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.97 / $260.52 / $502.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.97 / $303.95 / $698.29