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North Carolina rates for HCPCS E1017

Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $104.74 / $104.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.20 / $181.20 / $181.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00