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North Carolina rates for HCPCS E1190

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.22 / $974.00 / $974.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $2,371.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $974.00 / $1,095.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $613.95 / $998.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.42 / $7,607.79 / $7,607.79