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North Dakota rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.82 / $293.82 / $293.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.89 / $243.89 / $293.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.18 / $414.47 / $421.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.25 / $435.56 / $547.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $417.05 / $1,745.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.88 / $257.02 / $385.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $304.45 / $385.55