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North Dakota rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $144.54 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $69.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $173.78