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North Dakota rates for HCPCS E2376

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.84 / $1,102.84 / $1,102.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.02 / $916.02 / $1,102.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.51 / $2,021.59 / $2,056.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $1,772.55 / $2,228.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.74 / $1,102.84 / $8,276.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.20 / $921.48 / $1,382.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.54 / $882.28 / $1,437.19