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Minnesota rates for HCPCS E2629

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Frictionarm Support (Friction Dampening To Proximal And Distal Joints)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.07 / $696.07 / $696.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.53 / $696.07 / $809.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.41 / $1,341.60 / $1,357.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.20 / $1,190.24 / $1,281.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $2,825.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.75 / $1,324.87 / $1,665.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.91 / $1,998.91 / $2,225.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.75 / $1,311.75 / $1,311.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.41 / $1,281.21 / $5,453.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.36 / $611.98 / $1,246.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.36 / $613.14 / $1,656.06