go back

North Dakota rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.58 / $685.58 / $685.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.22 / $569.22 / $685.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.31 / $997.39 / $1,014.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.38 / $1,048.76 / $1,318.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.22 / $909.19 / $4,173.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.70 / $582.17 / $873.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $509.38 / $873.27