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North Dakota rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.35 / $896.35 / $896.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.61 / $698.61 / $896.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.93 / $1,646.44 / $1,674.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,363.50 / $1,714.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.91 / $896.35 / $6,150.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.57 / $673.00 / $968.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.57 / $928.44 / $1,124.04