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North Carolina rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $19.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $25.12 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $11.75 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $18.20 / $29.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18