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North Carolina rates for HCPCS E1200

Amputee Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.94 / $732.88 / $732.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $746.73 / $1,495.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $732.88 / $814.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $575.00 / $575.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $456.32 / $695.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.42 / $5,654.02 / $5,654.02