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North Carolina rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.57 / $395.28 / $395.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $407.81 / $815.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $395.28 / $463.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $338.48 / $338.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $249.14 / $405.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.91 / $3,087.50 / $3,087.50