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North Dakota rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.02 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $52.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $28.84 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.22 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $15.49 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.62 / $39.81