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Minnesota rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.79 / $119.79 / $119.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.63 / $119.79 / $141.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.07 / $227.08 / $236.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $197.36 / $212.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $492.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.75 / $231.04 / $290.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.54 / $348.54 / $387.97
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.75 / $228.75 / $228.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.63 / $212.44 / $970.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $106.78 / $221.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $108.77 / $202.31