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North Dakota rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,944.71 / $4,944.71 / $4,944.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,075.47 / $4,075.47 / $4,944.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.17 / $9,083.52 / $9,240.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,878.75 / $7,957.54 / $10,006.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.68 / $4,944.71 / $30,495.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,301.37 / $3,337.21 / $4,799.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.98 / $3,337.21 / $6,856.70