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North Carolina rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.79 / $943.52 / $943.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,076.50 / $3,076.50 / $3,076.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $795.00 / $1,964.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.59 / $943.52 / $1,002.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $750.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $664.93 / $969.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,369.29 / $7,369.29