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North Dakota rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $1,288.25 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $741.31 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,698.24