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North Carolina rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $22.94 / $22.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $21.85 / $21.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $37.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $22.94 / $30.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $23.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $16.97 / $31.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $155.56 / $155.56