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North Dakota rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.90 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $41.69 / $234.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $24.55 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $23.99 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $30.20 / $58.88