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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