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North Carolina rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.25 / $101.94 / $101.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $97.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $172.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $101.94 / $122.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $103.00 / $103.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $74.48 / $120.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.01 / $671.25 / $671.25