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North Dakota rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.13 / $118.13 / $118.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.43 / $97.97 / $118.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.61 / $179.76 / $182.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.50 / $159.08 / $200.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $118.13 / $171.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $68.81 / $162.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $13.45 / $162.19