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North Dakota rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.98 / $688.98 / $688.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.39 / $553.39 / $688.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.44 / $1,265.53 / $1,287.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.75 / $1,079.44 / $1,357.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.82 / $688.98 / $4,248.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.49 / $464.84 / $668.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.62 / $641.33 / $955.44