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North Carolina rates for HCPCS E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.58 / $8.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $14.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $8.58 / $10.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.37 / $10.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00