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North Dakota rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.56 / $846.56 / $846.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.89 / $820.89 / $846.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.04 / $1,555.28 / $1,582.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.25 / $1,602.11 / $2,014.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.81 / $846.56 / $6,143.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.87 / $671.99 / $966.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.99 / $927.01 / $1,380.80