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North Carolina rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $289.70 / $289.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.86 / $224.86 / $352.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.00 / $243.42 / $319.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $431.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.85 / $289.70 / $391.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.00 / $336.00 / $336.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $220.31 / $394.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.78 / $1,745.64 / $1,745.64