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North Dakota rates for HCPCS E1011

Modification To Pediatric Size Wheelchair Width Adjustment Package (Not To Be Dispensed With Initial Chair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $574.00 / $574.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $574.00 / $574.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.38 / $370.04 / $465.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $574.00 / $1,423.10