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North Dakota rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.26 / $616.26 / $616.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.34 / $468.34 / $616.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.91 / $691.51 / $703.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $606.00 / $762.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.87 / $616.26 / $2,522.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.46 / $550.13 / $825.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.68 / $550.13 / $825.20