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Minnesota rates for HCPCS G0501

Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables, patient lift, and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient, evaluation and management visit (list separately in addition to primary service)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $72.47 / $146.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $70.30 / $72.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.07 / $30.56