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North Dakota rates for HCPCS E2375

Power Wheelchair Accessory Non-Expandable Controller Including All Related Electronics And Mounting Hardware Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.54 / $618.54 / $618.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.58 / $513.58 / $618.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.41 / $1,077.08 / $1,095.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.75 / $943.09 / $1,185.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.58 / $651.63 / $2,957.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.06 / $568.88 / $853.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.49 / $540.51 / $853.32