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North Dakota rates for HCPCS E2219

Manual wheelchair accessory, foam caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.81 / $36.81 / $36.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $31.10 / $36.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.15 / $56.35 / $57.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.60 / $76.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $40.47 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $27.52 / $41.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $27.52 / $58.98