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Minnesota rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.52 / $686.52 / $686.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.71 / $686.52 / $826.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.00 / $1,317.05 / $1,374.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.80 / $1,093.50 / $1,177.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $2,860.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.88 / $1,341.15 / $1,686.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,023.34 / $2,023.34 / $2,252.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.88 / $1,327.88 / $1,327.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $1,177.07 / $5,719.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.11 / $611.89 / $1,276.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.11 / $626.64 / $1,530.18