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Minnesota rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.94 / $1,548.94 / $1,548.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.36 / $1,548.94 / $1,847.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,396.42 / $2,970.57 / $3,099.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.76 / $2,399.69 / $2,583.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.00 / $1,460.50 / $6,488.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.75 / $3,024.70 / $3,803.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,590.04 / $4,590.04 / $5,109.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.75 / $2,994.75 / $2,994.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.36 / $2,583.10 / $12,056.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.25 / $1,563.53 / $2,699.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.25 / $1,391.34 / $3,972.81