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North Dakota rates for HCPCS E2221

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire (Removable) Any Size Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.34 / $23.34 / $23.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $19.47 / $23.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $35.32 / $35.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $37.11 / $46.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.47 / $28.07 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $19.41 / $29.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $25.46 / $31.71