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North Dakota rates for HCPCS E0953

Wheelchair Accessory Lateral Thigh Or Knee Support Any Type Including Fixed Mounting Hardware Each (Reinstated Code) Old Description: Pneumatic Tire Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.80 / $72.80 / $72.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.45 / $60.45 / $72.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.15 / $106.67 / $108.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $112.11 / $140.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.45 / $94.96 / $433.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $62.15 / $95.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $56.90 / $95.62