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North Dakota rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.66 / $108.66 / $108.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $90.25 / $108.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.51 / $165.60 / $168.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.50 / $174.23 / $219.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.25 / $128.22 / $671.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.09 / $88.03 / $132.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $88.03 / $132.04