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North Dakota rates for HCPCS E2616

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.38 / $438.38 / $438.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.97 / $363.97 / $438.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.99 / $635.41 / $646.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.50 / $668.12 / $840.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.97 / $586.30 / $2,699.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.51 / $408.34 / $612.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.12 / $291.97 / $612.51