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North Carolina rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $132.08 / $132.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $164.42 / $167.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $132.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $253.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.33 / $132.08 / $202.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $182.00 / $182.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $111.20 / $158.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.93 / $944.78 / $944.78