go back

North Carolina rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.83 / $361.76 / $361.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $331.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $642.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.63 / $361.76 / $392.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.00 / $1,766.00 / $1,766.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.04 / $153.94 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.28 / $197.50 / $305.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.52 / $2,669.26 / $2,669.26