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North Dakota rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $38.75 / $38.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $32.17 / $38.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $56.12 / $57.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $59.09 / $74.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.17 / $51.90 / $239.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $36.22 / $54.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $36.22 / $54.34