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North Dakota rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.88 / $1,960.88 / $1,960.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.14 / $1,616.14 / $1,960.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.14 / $3,602.13 / $3,664.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.75 / $3,154.99 / $3,967.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.69 / $1,960.88 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.65 / $1,323.26 / $1,903.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,268.94 / $1,903.41