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North Dakota rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $41.60 / $41.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $35.14 / $41.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.41 / $63.68 / $64.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $68.18 / $85.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $45.76 / $258.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.56 / $33.21 / $48.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $27.77 / $37.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $32.39 / $65.68