go back

North Dakota rates for HCPCS E2377

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Upgrade Provided At Initial Issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.00 / $406.00 / $406.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.24 / $337.24 / $406.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.03 / $748.98 / $761.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.75 / $655.24 / $823.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.28 / $406.00 / $3,065.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $336.91 / $505.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.76 / $324.80 / $505.37