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North Dakota rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $524.81 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $245.47 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $616.60