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North Dakota rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.04 / $644.04 / $644.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.49 / $557.49 / $644.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.92 / $987.58 / $1,004.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.63 / $1,057.08 / $1,329.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.49 / $709.39 / $4,343.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.27 / $521.29 / $736.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $491.13 / $736.69