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North Dakota rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.32 / $23.32 / $23.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $19.37 / $23.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $36.08 / $36.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.88 / $47.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $26.36 / $151.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $19.20 / $28.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $26.26 / $32.39