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North Carolina rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.97 / $4,036.24 / $4,036.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $3,282.89 / $6,731.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.53 / $4,036.24 / $5,112.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,382.00 / $4,382.00 / $4,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.53 / $2,937.66 / $5,418.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.69 / $31,577.81 / $31,577.81