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North Dakota rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.95 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.02 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $29.51 / $154.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.49 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $15.49 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.95 / $38.02