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North Carolina rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.58 / $130.32 / $130.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.95 / $167.95 / $167.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $110.00 / $234.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $130.32 / $202.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $186.00 / $186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $110.60 / $158.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.75 / $831.06 / $831.06