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North Carolina rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $60.01 / $60.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $44.90 / $44.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $39.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $103.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.67 / $60.01 / $73.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $45.44 / $70.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $405.24 / $405.24