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North Carolina rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.91 / $825.28 / $825.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.59 / $840.94 / $1,982.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $825.28 / $907.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.99 / $517.64 / $835.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.80 / $6,367.66 / $6,367.66