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North Carolina rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $386.59 / $386.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $403.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $581.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.40 / $386.59 / $503.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.00 / $431.00 / $431.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $290.25 / $523.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.35 / $2,391.90 / $2,391.90