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North Dakota rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $15.44 / $15.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.82 / $12.82 / $15.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.82 / $23.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.86 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $19.73 / $99.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $14.36 / $21.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $14.36 / $21.55