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Minnesota rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,467.37 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,570.88 / $5,754.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $8,128.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $407.38 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $269.15 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,513.56 / $3,548.13