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Minnesota rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.34 / $468.34 / $468.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.80 / $468.34 / $616.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.91 / $620.88 / $1,197.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.79 / $1,049.31 / $1,129.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $1,288.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $636.00 / $762.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.57 / $911.57 / $1,014.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.74 / $511.16 / $2,522.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.19 / $423.42 / $904.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.19 / $434.62 / $904.95