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North Dakota rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $1,202.26 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $691.83 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,584.89