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North Dakota rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.06 / $64.06 / $64.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.61 / $54.61 / $64.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.74 / $99.16 / $100.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $104.16 / $130.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.61 / $72.34 / $405.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $46.95 / $72.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.32 / $46.95 / $100.61