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North Dakota rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.00 / $483.00 / $483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.37 / $338.37 / $483.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.23 / $887.30 / $902.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.50 / $659.03 / $828.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $483.00 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.94 / $325.89 / $468.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $312.54 / $468.80