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North Dakota rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.63 / $137.63 / $137.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.22 / $114.22 / $137.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.18 / $233.09 / $237.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $204.53 / $257.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.22 / $145.78 / $911.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $131.41 / $195.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $130.53 / $195.79