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North Dakota rates for HCPCS K0890

Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,874.59 / $7,874.59 / $7,874.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,874.59 / $7,874.59 / $7,874.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.07 / $1,510.84 / $1,536.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $7,874.59 / $10,569.00