go back

North Dakota rates for HCPCS E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $336.05 / $336.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $336.05 / $336.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $757.50 / $952.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $336.05 / $374.50