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North Dakota rates for HCPCS E2386

Power Wheelchair Accessory Foam Filled Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $82.68 / $99.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.62 / $138.81 / $141.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $145.82 / $183.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.68 / $142.57 / $582.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $97.83 / $142.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $71.00 / $142.24