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North Dakota rates for HCPCS E1030

Wheelchair Accessory Ventilator Tray Gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.63 / $1,017.63 / $1,017.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.49 / $841.49 / $1,017.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.69 / $1,875.51 / $1,907.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.50 / $1,643.78 / $2,066.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.38 / $1,017.63 / $7,407.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.04 / $829.85 / $1,244.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $1,118.09 / $1,244.78