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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
$16.98 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $46.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $22.39 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $10.47 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.60 / $26.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $147.91