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North Dakota rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,252.34 / $2,252.34 / $2,252.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.30 / $1,856.30 / $2,252.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,535.55 / $4,137.39 / $4,208.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,588.75 / $3,624.64 / $4,557.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.70 / $2,252.34 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.31 / $1,520.06 / $2,186.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.60 / $1,520.06 / $2,538.55