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North Dakota rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.30 / $164.30 / $164.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.25 / $136.25 / $164.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.66 / $199.71 / $203.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.75 / $209.83 / $263.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.25 / $253.75 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.89 / $179.38 / $299.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $179.38 / $299.70