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North Dakota rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.22 / $291.22 / $291.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.75 / $241.75 / $291.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.60 / $413.79 / $420.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.88 / $435.18 / $547.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $407.07 / $1,749.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.41 / $275.51 / $413.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $275.51 / $417.97