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North Dakota rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.14 / $45.14 / $45.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $38.13 / $45.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.45 / $64.89 / $66.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $68.18 / $85.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.13 / $61.51 / $280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.25 / $43.87 / $64.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $49.11 / $64.02