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North Dakota rates for HCPCS E1004

Wheelchair Accessory Power Seating System Recline Only With Mechanical Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,170.78 / $4,170.78 / $4,170.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,464.56 / $3,464.56 / $4,170.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,630.26 / $7,758.92 / $7,893.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,731.25 / $6,798.56 / $8,548.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.95 / $4,170.78 / $30,467.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.90 / $3,427.27 / $5,140.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.64 / $3,336.62 / $5,140.91