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North Dakota rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.45 / $884.45 / $884.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.61 / $619.61 / $884.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.43 / $1,624.78 / $1,652.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.25 / $1,208.21 / $1,519.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.94 / $884.45 / $5,455.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.14 / $596.96 / $858.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $596.96 / $1,226.66