go back

Minnesota rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $933.25 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $912.01 / $1,148.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,621.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $870.96 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $275.42 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $575.44 / $1,148.15