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North Carolina rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.26 / $22.49 / $22.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $22.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $22.49 / $26.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $26.83 / $26.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.78 / $26.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $148.63 / $148.63