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Minnesota rates for HCPCS E2617

Custom Fabricated Wheelchair Back Cushion Any Size Including Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $336.05 / $336.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $336.05 / $821.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.46 / $1,475.13 / $2,355.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $413.10 / $1,684.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $757.50 / $952.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.59 / $1,191.59 / $1,326.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $374.50 / $1,086.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.97 / $1,808.40 / $6,026.53