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North Carolina rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.98 / $1,888.00 / $1,888.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $3,904.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $1,888.00 / $2,184.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.00 / $1,736.00 / $1,736.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.72 / $1,060.92 / $2,109.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.44 / $12,533.54 / $12,533.54