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North Dakota rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.49 / $63.49 / $63.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.96 / $52.96 / $63.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $98.04 / $99.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $103.02 / $129.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.96 / $72.18 / $407.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $49.99 / $74.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $49.99 / $74.98