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North Dakota rates for HCPCS E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $52.48 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $26.30 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $22.91 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $37.15 / $63.10