go back

North Dakota rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.79 / $497.79 / $497.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.53 / $413.53 / $497.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.55 / $920.44 / $936.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.75 / $806.74 / $1,014.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.21 / $497.79 / $3,564.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $394.38 / $591.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.79 / $352.08 / $469.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.67 / $382.27 / $591.57