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Minnesota rates for HCPCS E2633

Wheelchair Accessory Addition To Mobile Arm Support Supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.08 / $98.08 / $98.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.49 / $98.08 / $118.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.06 / $187.74 / $195.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.82 / $157.27 / $169.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $407.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $191.27 / $240.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.37 / $288.37 / $320.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $189.38 / $189.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $169.29 / $802.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $87.43 / $184.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $87.43 / $182.12