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North Dakota rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.49 / $826.49 / $826.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.52 / $686.52 / $826.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.99 / $1,275.54 / $1,297.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.88 / $1,341.15 / $1,686.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.52 / $952.67 / $5,719.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.93 / $654.70 / $977.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.11 / $654.70 / $1,397.01